Provider Demographics
NPI:1851545495
Name:KANE, CHRISTINE (RDN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:KANE
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:WEST NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01985-2117
Mailing Address - Country:US
Mailing Address - Phone:978-270-9354
Mailing Address - Fax:978-510-1541
Practice Address - Street 1:32 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:WEST NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01985-2117
Practice Address - Country:US
Practice Address - Phone:978-270-9354
Practice Address - Fax:833-222-8162
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2075133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered