Provider Demographics
NPI:1437303872
Name:KANE, KATHRYN (RPSGT, PHD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:KANE
Suffix:
Gender:F
Credentials:RPSGT, PHD
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:J
Other - Last Name:COE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7625 328TH AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-8833
Mailing Address - Country:US
Mailing Address - Phone:847-778-3216
Mailing Address - Fax:888-608-0343
Practice Address - Street 1:50 S MILWAUKEE AVE STE 201
Practice Address - Street 2:
Practice Address - City:LAKE VILLA
Practice Address - State:IL
Practice Address - Zip Code:60046-5426
Practice Address - Country:US
Practice Address - Phone:847-838-9253
Practice Address - Fax:888-608-0343
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173F00000XOther Service ProvidersSleep Specialist, PhD
No171400000XOther Service ProvidersHealth & Wellness Coach