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NPI Code Detail

MEDICARE: DR. KATHRYN KANE RPSGT, PHD

MEDICARE: DR. KATHRYN KANE RPSGT, PHD
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
1173F00000XSleep Specialist (PhD)
2171400000XHealth & Wellness Coach

General Provider Information

NPI Number : 1437303872
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN KANE RPSGT, PHD
Provider Business Mailing Address
First Line : 7625 328TH AVE
Second Line :
City : BURLINGTON
State : WI
Zip : 53105-8833
Country : US
Telephone Number : 847-778-3216
Fax Number : 888-608-0343
Provider Business Practice Location Address
First Line : 50 S MILWAUKEE AVE STE 201
Second Line :
City : LAKE VILLA
State : IL
Zip : 60046-5426
Country : US
Telephone Number : 847-838-9253
Fax Number : 888-608-0343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2008
Last Update Date : 09/03/2024

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