MEDICARE: DR. JAMES GILBERT KANE III D.C.

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	111N00000X	Chiropractor	DC28800	CA
2	111N00000X	Chiropractor	4210	SC

General Provider Information

NPI Number	:	1811996101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES GILBERT KANE III D.C.

Provider Business Mailing Address
First Line	:	320 CLUB VIEW RD
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29485-6206
Country	:	US
Telephone Number	:	530-318-5651
Fax Number	:

Provider Business Practice Location Address
First Line	:	679 ORANGEBURG RD
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483
Country	:	US
Telephone Number	:	530-318-5651
Fax Number	:

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/30/2018

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