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Individual

DR. PATRICK JOHN KANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 616-6673
Mailing address
1109 RENAISSANCE WAY NE, ATLANTA, GA 30308-2400
(404) 694-2944

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
002196
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992787881
MI
Enumeration date
12/27/2007
Last updated
08/03/2010
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