Individual
KENNETH JOHN KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
762 W MICHIGAN AVE, SUITE D, JACKSON, MI 49201-1978
(517) 780-9073
(517) 780-9673
Mailing address
762 W MICHIGAN AVE, SUITE D, JACKSON, MI 49201-1978
(517) 780-9073
(517) 780-9673
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
12/29/2011
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