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NPI Code Detail

MEDICARE: GILLIAN ROSE KANE

MEDICARE: GILLIAN ROSE KANE
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
1363LA2200XAdult Health Nurse PractitionerSP034853PA

General Provider Information

NPI Number : 1699634717
Entity Type Code : Individual
Provider Name (Legal Business Name) : GILLIAN ROSE KANE
Provider Business Mailing Address
First Line : 2018 SOUTH ST UNIT 3
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-1321
Country : US
Telephone Number : 215-837-8978
Fax Number :
Provider Business Practice Location Address
First Line : 3400 SPRUCE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4238
Country : US
Telephone Number : 215-662-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ GILLIAN ROSE KANE ” Practice Location

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