Doctor Name: | JILL R KANE |
NPI Number: | 1124021431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | OS008875L |
Business Practice Address: | 2 Quincy Dr Levittown, PA - 190571924 |
Business Phone Number: | 2159431200 |
Business Fax Number: | 2159436650 |
Mailing Address: | Po Box 8500-6335, PHILADELPHIA |
State: | PA |
Postal Code: | 191786335 |
Phone Number: | 2159431200 |
Fax Number: | 2159436650 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 05/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS008875L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |