MEDICARE: DR. WARREN 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	2084P0800X	Psychiatry Physician	21193	NV
2	2084P0800X	Psychiatry Physician	61727	AZ
3	2084P0800X	Psychiatry Physician	A184077	CA

General Provider Information

NPI Number	:	1992233175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WARREN KANE

Provider Business Mailing Address
First Line	:	10620 SOUTHERN HIGHLANDS PKWY STE 110-735
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-4371
Country	:	US
Telephone Number	:	702-527-8042
Fax Number	:

Provider Business Practice Location Address
First Line	:	10620 SOUTHERN HIGHLANDS PKWY STE 110-735
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-4371
Country	:	US
Telephone Number	:	702-527-8042
Fax Number	:

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

Provider Enumeration Date	:	05/31/2017
Last Update Date	:	01/13/2025

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Directions to “ DR. WARREN KANE ” Practice Location

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