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NPI Code Detail

MEDICARE: KANE MEDICAL GROUP INC

MEDICARE: KANE MEDICAL GROUP INC
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
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3207X00000XOrthopaedic Surgery Physician
4208600000XSurgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457337743
Entity Type Code : Organization
Provider Name (Legal Business Name) : KANE MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 4372 ROUTE 6
Second Line :
City : KANE
State : PA
Zip : 16735-3060
Country : US
Telephone Number : 814-837-8585
Fax Number : 814-837-7992
Provider Business Practice Location Address
First Line : 4372 ROUTE 6
Second Line :
City : KANE
State : PA
Zip : 16735-3060
Country : US
Telephone Number : 814-837-8585
Fax Number : 814-837-7992
Authorized Official
Title or Position : CEO
Name : JOHN GARY RHODES
Credential :
Telephone Number : 814-837-8585
Provider Enumeration Date : 12/19/2005
Last Update Date : 09/11/2025

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Directions to “KANE MEDICAL GROUP INC ” Practice Location

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