Individual
DR. ANDREW W KANE
Active
Individual
DR. ANDREW W KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0439
WI
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
0439
WI
103TF0200X
Forensic Psychologist
—
—
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39052400
—
WI
Enumeration date
05/29/2007
Last updated
09/11/2025
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