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NPI Code Detail

MEDICARE: MEGAN C KANE D.O.

MEDICARE: MEGAN C KANE D.O.
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 PhysicianOS005955LPA
2208D00000XGeneral Practice PhysicianOS005955LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10073548000OTHERPAKEYSTONE IBC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3040637OTHERPAHIGHMARK BLUE SHIELD
419910OTHERPAAETNA HMO

General Provider Information

NPI Number : 1629071048
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN C KANE D.O.
Provider Business Mailing Address
First Line : PO BOX 8500-6335
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-6335
Country : US
Telephone Number : 215-943-1200
Fax Number : 215-943-6650
Provider Business Practice Location Address
First Line : 2 QUINCY DR
Second Line :
City : LEVITTOWN
State : PA
Zip : 19057-1924
Country : US
Telephone Number : 215-943-1200
Fax Number : 215-943-6650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 05/25/2011

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