MEDICARE: JOHN N KANE JR. DPM

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	213E00000X	Podiatrist	36001660	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	480000262	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000128830	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	341230100014	OTHER	OH	MEDICAL MUTUAL

General Provider Information

NPI Number	:	1508895194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN N KANE JR. DPM

Provider Business Mailing Address
First Line	:	5025 TURNEY RD
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2530
Country	:	US
Telephone Number	:	216-587-4141
Fax Number	:	216-587-5491

Provider Business Practice Location Address
First Line	:	5025 TURNEY RD
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2530
Country	:	US
Telephone Number	:	216-587-4141
Fax Number	:	216-587-5491

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	04/29/2008

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Directions to “ JOHN N KANE JR. DPM” Practice Location

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