Provider Demographics
NPI:1437303872
Name:KANE-COE, KATHRYN (RPSGT, MS)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:KANE-COE
Suffix:
Gender:F
Credentials:RPSGT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7619 335TH AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-8818
Mailing Address - Country:US
Mailing Address - Phone:847-778-3216
Mailing Address - Fax:847-838-9253
Practice Address - Street 1:39336 N STATE ROUTE 59
Practice Address - Street 2:
Practice Address - City:LAKE VILLA
Practice Address - State:IL
Practice Address - Zip Code:60046-9603
Practice Address - Country:US
Practice Address - Phone:847-838-9253
Practice Address - Fax:847-838-9253
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program