Dennis Kish Jr, is a
Student In An Organized Health Care Education/training Program based in Olympia, Washington. Dennis Kish Jr is licensed to practice in Washington (license number CO65015390) and his current practice location is
6700 Martin Way E Ste 117, Olympia, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 413-6910.
NPI number for Dennis Kish Jr is 1073142550 and his current mailing address is 6700 Martin Way E Ste 117, Olympia, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073142550.
Healthcare Provider's Profile
| Full Name | Dennis Kish Jr |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 6700 Martin Way E Ste 117, Olympia, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073142550
- Provider Enumeration Date: 04/06/2020
- Last Update Date: 04/27/2021
Medical Identifiers
Medical identifiers for Dennis Kish Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073142550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | CO65015390 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dennis Kish Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dennis Kish Jr,
6700 Martin Way E Ste 117,
Olympia, WA 98516-5586
Ph: (360) 413-6910 | Dennis Kish Jr,
6700 Martin Way E Ste 117,
Olympia, WA 98516-5586
Ph: (360) 413-6910 |
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