MEDICARE: DR. ROBERT LEE KANE D.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	111N00000X	Chiropractor	1272	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13472	OTHER	MA	HEALTH NEW ENGLAND
2	350139	OTHER	MA	HARVARDPILGRIM HEALTHCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	001272	OTHER	MA	TUFTS HEALTH PLAN

General Provider Information

NPI Number	:	1467455352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT LEE KANE D.C.

Provider Business Mailing Address
First Line	:	228 TRIANGLE ST
Second Line	:	STE 4
City	:	AMHERST
State	:	MA
Zip	:	01002-2169
Country	:	US
Telephone Number	:	413-549-1500
Fax Number	:	413-549-7535

Provider Business Practice Location Address
First Line	:	228 TRIANGLE ST
Second Line	:	STE 4
City	:	AMHERST
State	:	MA
Zip	:	01002-2169
Country	:	US
Telephone Number	:	413-549-1500
Fax Number	:	413-549-7535

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	06/12/2012

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