Provider Demographics
NPI:1376096859
Name:KANE, DARCY ANN (LPN)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:ANN
Last Name:KANE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DARCY
Other - Middle Name:ANN
Other - Last Name:AROLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 N 22ND AVE W
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55806-1633
Mailing Address - Country:US
Mailing Address - Phone:218-355-0721
Mailing Address - Fax:
Practice Address - Street 1:501 N 22ND AVE W
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55806-1633
Practice Address - Country:US
Practice Address - Phone:218-355-0721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI321001-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse