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NPI Code Detail

MEDICARE: MATTHEW KANE M.D

MEDICARE: MATTHEW KANE M.D
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
12085R0202XDiagnostic Radiology Physician107491MO
22085R0202XDiagnostic Radiology Physician01041683AIN
32085R0202XDiagnostic Radiology Physician35070510OH
42085R0202XDiagnostic Radiology PhysicianK1493TX
52085R0202XDiagnostic Radiology Physician96-82NM
62085R0202XDiagnostic Radiology Physician18646WV
72085R0202XDiagnostic Radiology Physician5304AK
82085R0202XDiagnostic Radiology Physician036084866IL
92085R0202XDiagnostic Radiology PhysicianMD11325RLA
102085R0202XDiagnostic Radiology Physician6918AWY

General Provider Information

NPI Number : 1437230554
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW KANE M.D
Provider Business Mailing Address
First Line : PO BOX 405984
Second Line :
City : ATLANTA
State : GA
Zip : 30384-5984
Country : US
Telephone Number : 304-235-2500
Fax Number : 304-235-0538
Provider Business Practice Location Address
First Line : 859 ALDERSON ST
Second Line :
City : WILLIAMSON
State : WV
Zip : 25661-3215
Country : US
Telephone Number : 304-235-2500
Fax Number : 304-235-0538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 11/25/2025

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