| Km Therapy Llc | |
|
250 N Green Bay Rd Neenah WI 54956-2285 | |
| (425) 477-9044 | |
| Not Available |
| Full Name | Km Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 250 N Green Bay Rd, Neenah, Wisconsin |
| Authorized Official Name and Position | Kathryn Mcniel (OWNER) |
| Authorized Official Contact | 4254779044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Km Therapy Llc 250 N Green Bay Rd Neenah WI 54956-2285 Ph: (425) 477-9044 | Km Therapy Llc 250 N Green Bay Rd Neenah WI 54956-2285 Ph: (425) 477-9044 |
| NPI Number | 1760267447 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 4284072463 |
|---|---|
| Medicare Enrollment ID | O20240408000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760267447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Kathryn M Mcniel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851869895 PECOS PAC ID: 2062865850 Enrollment ID: I20240129001263 |
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