Provider Demographics
NPI:1497145908
Name:KANE, LINDSEY ANN (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ANN
Last Name:KANE
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14524 HIGH MEADOW WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-3791
Mailing Address - Country:US
Mailing Address - Phone:240-506-3433
Mailing Address - Fax:
Practice Address - Street 1:228 7TH ST SE
Practice Address - Street 2:SE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4306
Practice Address - Country:US
Practice Address - Phone:202-698-0795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110004846363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant