Individual
PETER P KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4938
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4938
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2922
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750684734
—
WI
Enumeration date
12/13/2010
Last updated
01/15/2022
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