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Individual

ROBERT E KANE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10632 TOSTON LN, GLEN ALLEN, VA 23060-6498
(804) 475-2437
(804) 747-4304
Mailing address
10632 TOSTON LN, GLEN ALLEN, VA 23060-6498
(804) 475-2437
(804) 747-4304

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R8H17
MO
2080P0206X
Pediatric Gastroenterology Physician
29238
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202531802
MO
Enumeration date
09/15/2006
Last updated
02/01/2017
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