| Kane-ronning, Inc. | |
|
1117 Ellis St Bellingham WA 98225-5203 | |
| (360) 714-8109 | |
| (360) 756-8936 |
| Full Name | Kane-ronning, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1117 Ellis St, Bellingham, Washington |
| Authorized Official Name and Position | Susan D. Kane-ronning (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3607148109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kane-ronning, Inc. 1117 Ellis St Bellingham WA 98225-5203 Ph: (360) 714-8109 | Kane-ronning, Inc. 1117 Ellis St Bellingham WA 98225-5203 Ph: (360) 714-8109 |
| NPI Number | 1114163615 |
|---|---|
| Provider Enumeration Date | 01/05/2009 |
| Last Update Date | 01/05/2009 |
| Medicare PECOS PAC ID | 0648327197 |
|---|---|
| Medicare Enrollment ID | O20090420000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114163615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PY00001969 (Washington) | Primary |
| Provider Name | Susan D Kane Ronning |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093853707 PECOS PAC ID: 5496802936 Enrollment ID: I20090420000593 |
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