MEDICARE: JOSEPHINE KANE APRN

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	363L00000X	Nurse Practitioner	APRN.CNP.0036868	OH

General Provider Information

NPI Number	:	1285479592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPHINE KANE APRN

Provider Business Mailing Address
First Line	:	27 E MAIN ST
Second Line	:
City	:	NEW CONCORD
State	:	OH
Zip	:	43762-1214
Country	:	US
Telephone Number	:	740-584-5656
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 E MAIN ST
Second Line	:
City	:	NEW CONCORD
State	:	OH
Zip	:	43762-1214
Country	:	US
Telephone Number	:	740-584-5656
Fax Number	:

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

Provider Enumeration Date	:	06/27/2024
Last Update Date	:	11/06/2025

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Directions to “ JOSEPHINE KANE APRN” Practice Location

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