Individual
STEPHEN J KANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104
(215) 662-3511
Mailing address
3624 MARKET STREET, UPHS OFFICE OF MEDICAL AFFAIRS STE 560W, PHILADELPHIA, PA 19104
(215) 662-2286
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD069169L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018535030004
—
PA
Enumeration date
07/07/2006
Last updated
07/08/2007
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