| Medikane PLLC | |
|
607 Centre Grove Cir Jonesboro AR 72401-5800 | |
| (716) 713-0115 | |
| Not Available |
| Full Name | Medikane PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 607 Centre Grove Cir, Jonesboro, Arkansas |
| Authorized Official Name and Position | Terrance Kane (INCORPORATOR) |
| Authorized Official Contact | 7167130115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medikane PLLC 607 Centre Grove Cir Jonesboro AR 72401-5800 Ph: (716) 713-0115 | Medikane PLLC 607 Centre Grove Cir Jonesboro AR 72401-5800 Ph: (716) 713-0115 |
| NPI Number | 1902485816 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902485816 | NPI | - | NPPES |
| 1336602549 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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