Provider Demographics
NPI:1285479592
Name:KANE, JOSEPHINE (APRN)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:KANE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JOSEPHINE
Other - Middle Name:
Other - Last Name:KANE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:448 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-1861
Mailing Address - Country:US
Mailing Address - Phone:740-584-5656
Mailing Address - Fax:
Practice Address - Street 1:448 N 8TH ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-1861
Practice Address - Country:US
Practice Address - Phone:740-584-5656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0036868363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner