person
Kenneth Allan Shane, DPM
Podiatrist in Akron, Ohio
NPI 1790812188

Kenneth Allan Shane is a Podiatrist based in Akron, OH. Kenneth Allan Shane practices in Akron, OH and has the professional credentials of DPM. The NPI Number for Kenneth Allan Shane is 1790812188 and holds a License No. 36002062 (Ohio).

The current practice location address for Kenneth Allan Shane is 3381 Montrose Avenue, Akron, OH and can be reached out via phone at 330-666-6801 and via fax at 330-666-6801. You can also correspond with Kenneth Allan Shane through the mailing address at 3381 MONTROSE AVENUE, AKRON, OH - 44333-2411 (mailing address contact number: 330-666-6801).

Location: 3381 Montrose Avenue, Akron, OH, 44333-2411
person
Provider Profile Details
NPI Number
1790812188
Provider Name
Kenneth Allan Shane
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3381 Montrose Avenue, Akron, OH, 44333-2411
Phone Number
330-666-6801
Fax Number
330-666-6801
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0561682 05 OH
480003668 01 GA RAILROAD MEDICARE
000000132340 01 OH ANTHEM BLUE CROSS BLUE SH
0007763250 01 TX AETNA
341466072 01 UNITED AMERICAN INSURANCE
SH0520022 01 STANDARD LIFE AND ACCIDEN
000000165933 01 KY ANTHEM BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3381 Montrose Avenue
City
State
Zip
44333-2411
Phone Number
330-666-6801
Fax Number
330-666-6801
person
Provider Business Mailing Address Details
Address
3381 Montrose Avenue
City
State
Zip
44333-2411
Phone Number
330-666-6801
Fax Number
330-666-6801
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
36002062 (Ohio)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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