Healthcare Provider Details

I. General information

NPI: 1013961564
Provider Name (Legal Business Name): SARAH E KANE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2696
US

IV. Provider business mailing address

81 HIGHLAND AVE DEPARTMENT OF PATHOLOGY
SALEM MA
01970-2714
US

V. Phone/Fax

Practice location:
  • Phone: 617-643-0800
  • Fax:
Mailing address:
  • Phone: 978-354-4101
  • Fax: 978-740-4752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number224160
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: