Provider Demographics
NPI:1043683220
Name:KANE, DOROTHY (IBCLC)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:KANE
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19105 STARKEY TER
Mailing Address - Street 2:
Mailing Address - City:BROOKEVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20833-3285
Mailing Address - Country:US
Mailing Address - Phone:301-570-8684
Mailing Address - Fax:
Practice Address - Street 1:19105 STARKEY TER
Practice Address - Street 2:
Practice Address - City:BROOKEVILLE
Practice Address - State:MD
Practice Address - Zip Code:20833-3285
Practice Address - Country:US
Practice Address - Phone:301-570-8684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN