Individual
JENNIFER KAY KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 55122-2235
(651) 688-7041
Mailing address
4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 55122-2235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8265
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LF0000X
—
MN
Enumeration date
04/23/2021
Last updated
10/21/2021
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