Individual provider · Type 1 NPI

Russ Kane, P.A.-C.

Medical Physician Assistant · Ocoee, FL

NPI number 1508015140 Active

Practice location

10872 W Colonial Dr
Ocoee, FL 34761-2981

Call (407) 656-8848 Map

Fax (407) 656-6901

Mailing address

3221 Ibis Ct Apt C
Kissimmee, FL 34741-4783

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA0002566 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1508015140

Russ Kane, P.A.-C.'s National Provider Identifier is 1508015140, issued on Sep 18, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ocoee, FL. The record was last updated on Sep 18, 2008.