Provider Demographics
NPI:1376138370
Name:KANE, MELANI LEAH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELANI
Middle Name:LEAH
Last Name:KANE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MELANI
Other - Middle Name:LEAH
Other - Last Name:BERSTEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4620 PLEASANTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-8670
Mailing Address - Country:US
Mailing Address - Phone:952-334-4656
Mailing Address - Fax:
Practice Address - Street 1:4620 PLEASANTWOOD RD
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-8670
Practice Address - Country:US
Practice Address - Phone:952-334-4656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN122955183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist