Provider Demographics
NPI:1689314320
Name:KANE, ELEANOR LEWIS (MD)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:LEWIS
Last Name:KANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELEANOR
Other - Middle Name:STOUGHTON
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9000 FRANKLIN SQUARE DRIVE
Mailing Address - Street 2:DEPARTMENT OF FAMILY MEDICINE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237
Mailing Address - Country:US
Mailing Address - Phone:443-777-2000
Mailing Address - Fax:443-777-8489
Practice Address - Street 1:9000 FRANKLIN SQUARE DRIVE
Practice Address - Street 2:DEPARTMENT OF FAMILY MEDICINE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237
Practice Address - Country:US
Practice Address - Phone:443-777-2000
Practice Address - Fax:443-777-8489
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program