Provider Demographics
NPI:1700989332
Name:KANE, EMILY ALICE (ND)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ALICE
Last Name:KANE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 HARRIS ST STE 329
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1083
Mailing Address - Country:US
Mailing Address - Phone:907-586-3655
Mailing Address - Fax:907-586-4326
Practice Address - Street 1:418 HARRIS ST STE 329
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1083
Practice Address - Country:US
Practice Address - Phone:907-586-3655
Practice Address - Fax:907-586-4326
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK22175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath