Provider Demographics
NPI:1588031306
Name:KANE, DEVIN ROBERT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:ROBERT
Last Name:KANE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12300 KILN CT STE D
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1357
Mailing Address - Country:US
Mailing Address - Phone:301-210-4343
Mailing Address - Fax:
Practice Address - Street 1:12300 KILN CT STE D
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1357
Practice Address - Country:US
Practice Address - Phone:301-210-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23559183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist