| Mmk Llc | |
|
540 W Plumb Ln Ste 120 Reno NV 89509-3691 | |
| (775) 432-2200 | |
| (775) 432-2992 |
| Full Name | Mmk Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 540 W Plumb Ln Ste 120, Reno, Nevada |
| Authorized Official Name and Position | Hawanya B Miller (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9844640774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmk Llc 550 W Plumb Ln Ste B-157 Reno NV 89509-3468 Ph: (775) 432-2200 | Mmk Llc 540 W Plumb Ln Ste 120 Reno NV 89509-3691 Ph: (775) 432-2200 |
| NPI Number | 1346952322 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Medicare PECOS PAC ID | 9032581558 |
|---|---|
| Medicare Enrollment ID | O20230209002860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346952322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kathleen A Stoll |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588779938 PECOS PAC ID: 0941485189 Enrollment ID: I20110503000374 |
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