Individual
BONNIE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-6733
Mailing address
1884 COLUMBIA RD NW APT 700, WASHINGTON, DC 20009-5133
(502) 741-6430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0005831
MD
363A00000X
Physician Assistant
Primary
PA031160
DC
Other
Enumeration date
07/31/2015
Last updated
03/12/2021
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