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NPI Code Detail

MEDICARE: DR. MICHELLE ELIZABETH KANE PSYD

MEDICARE:  DR. MICHELLE ELIZABETH KANE  PSYD
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
1103TC0700XClinical Psychologist2543NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11242LOTHERNCBCBS NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37969584OTHERNCAETNA
495152OTHERNCMEDCOST

General Provider Information

NPI Number : 1437197134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE ELIZABETH KANE PSYD
Provider Business Mailing Address
First Line : 7 CORPORATE CENTER CT STE B
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-3839
Country : US
Telephone Number : 336-604-2789
Fax Number : 336-282-3797
Provider Business Practice Location Address
First Line : 7 CORPORATE CENTER CT STE B
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-3839
Country : US
Telephone Number : 336-604-2789
Fax Number : 336-282-3797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 12/07/2021

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