Provider Demographics
NPI:1104027358
Name:KANE, ADRIENNE M (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:M
Last Name:KANE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1525 SILVER AVE
Mailing Address - Street 2:SILVER AVENUE FAMILY HEALTH CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94134-1229
Mailing Address - Country:US
Mailing Address - Phone:415-657-1700
Mailing Address - Fax:415-467-3320
Practice Address - Street 1:1525 SILVER AVE
Practice Address - Street 2:SILVER AVENUE FAMILY HEALTH CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94134-1229
Practice Address - Country:US
Practice Address - Phone:415-657-1700
Practice Address - Fax:415-467-3320
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG78357207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
047936OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
G21870Medicare UPIN