Dr. Derek Douglas Kane, MD MS
Surgery in Bismarck, ND. Individual provider (NPI-1).
NPI number1508942897
StatusActive
Last updated in NPPESFeb 2, 2022
Details
- NPI
- 1508942897
- Entity type
- Individual (NPI-1)
- Name
- Dr. Derek Douglas Kane
- Credential
- MD MS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2006
- Certification date
- Feb 2, 2022
- Last updated
- Feb 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 11265 | ND | Yes |
| 208600000X | Surgery | 48821-020 | WI |
Practice location
310 N 10th StBismarck, ND 58501-4516
Phone 701-877-2040 · Fax 701-639-2465
Mailing address
301 N. 10th StBismarck, ND 58501
Phone 701-877-2040 · Fax 701-639-2465
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