MEDICARE: DR. BRENDAN KANE 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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO-0024676	DE

General Provider Information

NPI Number	:	1699146480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRENDAN KANE DPM

Provider Business Mailing Address
First Line	:	17425 OCEAN ONE PLZ UNIT 1
Second Line	:
City	:	LEWES
State	:	DE
Zip	:	19958-1924
Country	:	US
Telephone Number	:	302-297-8431
Fax Number	:

Provider Business Practice Location Address
First Line	:	17425 OCEAN ONE PLZ UNIT 1
Second Line	:
City	:	LEWES
State	:	DE
Zip	:	19958-1924
Country	:	US
Telephone Number	:	302-297-8431
Fax Number	:

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

Provider Enumeration Date	:	10/19/2015
Last Update Date	:	09/14/2023

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Directions to “ DR. BRENDAN KANE DPM” Practice Location

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