Individual
MARTIN P KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4880 CENTURY PLAZA RD, STE 265, INDIANAPOLIS, IN 46254-5471
(317) 216-2700
(317) 216-2777
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004627A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201290390
—
IN
01
—
PO1516616
RAILROAD MEDICARE
IN
Enumeration date
06/01/2012
Last updated
11/24/2020
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