Individual provider · Type 1 NPI

Mark Brien Kane, PA-C

Medical Physician Assistant · Lakeport, CA

NPI number 1740615558 Active

Practice location

5176 Hill Rd E, Sutter-Lakeside Hospital, Attn: Emergency Department
Lakeport, CA 95453-6300

Call (707) 262-5017 Map

Mailing address

1906 Blake Ave
Glenwood Springs, CO 81601-4227

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X23128 (CA)
Medical Physician Assistant Primary 363AM0700XPA.0005001 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1740615558

Mark Brien Kane, PA-C's National Provider Identifier is 1740615558, issued on Sep 11, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lakeport, CA. The record was last updated on Jan 3, 2022.