Individual
KENNETH ALLAN SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3381 MONTROSE AVENUE, AKRON, OH 44333-2411
(330) 666-6801
(330) 666-6801
Mailing address
3381 MONTROSE AVENUE, AKRON, OH 44333-2411
(330) 666-6801
(330) 666-6801
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002062
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132340
ANTHEM BLUE CROSS BLUE SH
OH
01
—
000000165933
ANTHEM BLUE CROSS BLUE SHIELD
KY
01
—
0007763250
AETNA
TX
05
—
0561682
—
OH
01
—
341466072
UNITED AMERICAN INSURANCE
—
01
—
480003668
RAILROAD MEDICARE
GA
01
—
SH0520022
STANDARD LIFE AND ACCIDEN
—
Enumeration date
02/27/2007
Last updated
07/04/2011
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