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Organization

MEDIKANE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRANCE KANE M.D. (INCORPORATOR)
(716) 713-0115
Entity
Organization

Contact information

Practice address
607 CENTRE GROVE CIR, JONESBORO, AR 72401-5800
(716) 713-0115
Mailing address
607 CENTRE GROVE CIR, JONESBORO, AR 72401-5800
(716) 713-0115

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336602549
AR
Enumeration date
04/07/2021
Last updated
04/07/2021
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