Provider Demographics
NPI:1811996101
Name:KANE, JAMES GILBERT III (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GILBERT
Last Name:KANE
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 CLUB VIEW RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-6206
Mailing Address - Country:US
Mailing Address - Phone:530-318-5651
Mailing Address - Fax:
Practice Address - Street 1:679 ORANGEBURG RD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483
Practice Address - Country:US
Practice Address - Phone:530-318-5651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28800111N00000X
SC4210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0288000Medicare ID - Type Unspecified
CAU99023Medicare UPIN