Doctor Name: | LAURA J. KANE |
NPI Number: | 1245488956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 46258 |
Business Practice Address: | 305 W 15th St Suite102 Liberal, KS - 679012455 |
Business Phone Number: | 6206240702 |
Business Fax Number: | 6206245078 |
Mailing Address: | 305 W 15th St, Suite102 LIBERAL |
State: | KS |
Postal Code: | 679012455 |
Phone Number: | 6206240702 |
Fax Number: | 6206245078 |
NPI Enumeration Date: | 09/05/2008 |
NPI Last Update Date: | 08/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 46258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |