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NPI Code Detail

MEDICARE: KANE ANESTHESIA PROFESSIONAL SERVICES

MEDICARE: KANE ANESTHESIA PROFESSIONAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11520056OTHERPABLUE SHIELD CRNA
21520061OTHERPABLUE SHIELD M.D.

General Provider Information

NPI Number : 1174509624
Entity Type Code : Organization
Provider Name (Legal Business Name) : KANE ANESTHESIA PROFESSIONAL SERVICES
Provider Business Mailing Address
First Line : 4372 ROUTE 6
Second Line :
City : KANE
State : PA
Zip : 16735-3060
Country : US
Telephone Number : 814-837-8585
Fax Number : 814-837-7992
Provider Business Practice Location Address
First Line : 4372 ROUTE 6
Second Line :
City : KANE
State : PA
Zip : 16735-3060
Country : US
Telephone Number : 814-837-8585
Fax Number : 814-837-7992
Authorized Official
Title or Position : CEO
Name : MR. JOHN GARY RHODES
Credential :
Telephone Number : 814-837-8585
Provider Enumeration Date : 12/16/2005
Last Update Date : 04/20/2008

Similar Medicare Providers

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Practice Location Address:
4372 ROUTE 6
KANE, PA
16735-3060
Practice Phone: 814-837-4560
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1033119219 — CATHERINE MARTIN
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1821087586 — DR. JOHN RALPH PYLES MD
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4372 ROUTE 6
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1861478307 — UPMC KANE
Practice Location Address:
4372 ROUTE 6
KANE, PA
16735-3060
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Practice Fax: 814-837-7992
1457337743 — KANE MEDICAL GROUP INC
Practice Location Address:
4372 ROUTE 6
KANE, PA
16735-3060
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1497733224 — JAMIL SARFRAZ MD
Practice Location Address:
4372 ROUTE 6 , KANE COMMUNITY HOSPITAL
KANE, PA
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Practice Fax:

Directions to “KANE ANESTHESIA PROFESSIONAL SERVICES ” Practice Location

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