Individual
JOHN T KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2 QUINCY DR, LEVITTOWN, PA 19057-1924
(215) 943-1200
(215) 943-6650
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-6335
(215) 943-1200
(215) 943-6650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005624L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011142670002
—
PA
01
—
0022528000
KEYSTONE IBC
PA
01
—
095849
HIGHMARK BLUE SHIELD
PA
01
—
19711
AETNA HMO
PA
Enumeration date
05/31/2005
Last updated
04/20/2011
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