Individual
KERRY ANNE KANE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
1520 S R ST, ELWOOD, IN 46036-3341
(765) 552-7316
(765) 552-7306
Mailing address
PO BOX 474, ELWOOD, IN 46036-0474
(765) 552-7316
(765) 552-7306
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000740A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000327662
ANTHEM BCBS
IN
05
—
200340160
—
IN
01
—
500030087
RAILROAD MEDICARE
—
Enumeration date
03/30/2006
Last updated
07/08/2007
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