MEDICARE: ANDREW W. KANE & ASSOCIATES, S.C.

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
1	251S00000X	Community/Behavioral Health Agency		WI

General Provider Information

NPI Number	:	1235330226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREW W. KANE & ASSOCIATES, S.C.

Provider Business Mailing Address
First Line	:	2815 N SUMMIT AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-3439
Country	:	US
Telephone Number	:	414-964-6449
Fax Number	:	414-964-9814

Provider Business Practice Location Address
First Line	:	2815 N SUMMIT AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53211-3439
Country	:	US
Telephone Number	:	414-964-6449
Fax Number	:	414-964-9814

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	DR. ANDREW W KANE
Credential	:	PH.D.
Telephone Number	:	414-964-6449

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	08/22/2020

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