Doctor Name: | PATRICIA KANE |
NPI Number: | 1750471900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 24619 |
Business Practice Address: | 3620 N Mountain Ave Tucson, AZ - 857191938 |
Business Phone Number: | 5208825145 |
Business Fax Number: | 5208827504 |
Mailing Address: | 502 W 29th St, TUCSON |
State: | AZ |
Postal Code: | 857133353 |
Phone Number: | 5208849920 |
Fax Number: | 5207920654 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 02/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 24619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |