Provider Demographics
NPI:1922050335
Name:KANE, MARIA MONINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:MONINA
Last Name:KANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1110 N CLASSEN BLVD
Mailing Address - Street 2:SUITE 318
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-6843
Mailing Address - Country:US
Mailing Address - Phone:405-232-5453
Mailing Address - Fax:405-232-2295
Practice Address - Street 1:1110 N CLASSEN BLVD
Practice Address - Street 2:SUITE 318
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6843
Practice Address - Country:US
Practice Address - Phone:405-232-5453
Practice Address - Fax:405-232-2295
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK111342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry