Provider Demographics
NPI:1790589562
Name:KANE, JOHN MERLE (DC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:MERLE
Last Name:KANE
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1656 TREASURE LK
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-9044
Mailing Address - Country:US
Mailing Address - Phone:814-591-9091
Mailing Address - Fax:
Practice Address - Street 1:275 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-1287
Practice Address - Country:US
Practice Address - Phone:814-591-9091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC012033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor