MEDICARE: KANE RAMSEY DMD

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	122300000X	Dentist	0442000230	VA

General Provider Information

NPI Number	:	1295143642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANE RAMSEY DMD

Provider Business Mailing Address
First Line	:	521 N 11TH ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23298-5045
Country	:	US
Telephone Number	:	804-828-8022
Fax Number	:

Provider Business Practice Location Address
First Line	:	2708 E BROAD ST
Second Line	:	APT2
City	:	RICHMOND
State	:	VA
Zip	:	23223-7361
Country	:	US
Telephone Number	:	203-253-2520
Fax Number	:

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

Provider Enumeration Date	:	07/30/2014
Last Update Date	:	07/30/2014

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Directions to “ KANE RAMSEY DMD” Practice Location

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