MEDICARE: MR. DAVID EDWARD 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	S01664	MD

General Provider Information

NPI Number	:	1427123983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID EDWARD KANE D.C.

Provider Business Mailing Address
First Line	:	3450 OLD WASHINGTON RD
Second Line	:	SUITE 101
City	:	WALDORF
State	:	MD
Zip	:	20602-3248
Country	:	US
Telephone Number	:	301-638-7300
Fax Number	:	301-638-7306

Provider Business Practice Location Address
First Line	:	3450 OLD WASHINGTON RD
Second Line	:	SUITE 101
City	:	WALDORF
State	:	MD
Zip	:	20602-3248
Country	:	US
Telephone Number	:	301-638-7300
Fax Number	:	301-638-7306

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. DAVID EDWARD KANE D.C.” Practice Location

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