Individual
DR. KELLY ANN KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-3440
(217) 326-0160
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071008319
IL
Other
Enumeration date
09/12/2012
Last updated
11/25/2014
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