Provider Demographics
NPI:1740373950
Name:KRANE, N KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:N KEVIN
Middle Name:
Last Name:KRANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NEIL
Other - Middle Name:KEVIN
Other - Last Name:KRANE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1430 TULANE AVE
Mailing Address - Street 2:SL-45
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-5346
Mailing Address - Fax:504-988-1909
Practice Address - Street 1:1415 TULANE AVE
Practice Address - Street 2:HC-6
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2600
Practice Address - Country:US
Practice Address - Phone:504-988-8050
Practice Address - Fax:504-988-8051
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06370R207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1339580Medicaid
LA1339580Medicaid
LA5L703Medicare PIN