Healthcare Provider Details

I. General information

NPI: 1467455352
Provider Name (Legal Business Name): ROBERT LEE KANE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: LEE KANE D.C.

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 06/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 TRIANGLE ST STE 4
AMHERST MA
01002-2169
US

IV. Provider business mailing address

228 TRIANGLE ST STE 4
AMHERST MA
01002-2169
US

V. Phone/Fax

Practice location:
  • Phone: 413-549-1500
  • Fax: 413-549-7535
Mailing address:
  • Phone: 413-549-1500
  • Fax: 413-549-7535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1272
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: