MEDICARE: CYNTHIA APRIL 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
1	390200000X	Student in an Organized Health Care Education/Training Program		CO

General Provider Information

NPI Number	:	1962353367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA APRIL KANE

Provider Business Mailing Address
First Line	:	6610 GUNPARK DR STE 202
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-3579
Country	:	US
Telephone Number	:	720-340-8321
Fax Number	:

Provider Business Practice Location Address
First Line	:	6610 GUNPARK DR STE 202
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-3579
Country	:	US
Telephone Number	:	720-340-8321
Fax Number	:

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

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ CYNTHIA APRIL KANE ” Practice Location

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