| Kannon Health Llc | |
|
2727 Exposition Blvd Ste 105 Austin TX 78703-1227 | |
| (512) 478-6419 | |
| Not Available |
| Full Name | Kannon Health Llc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 2727 Exposition Blvd Ste 105, Austin, Texas |
| Authorized Official Name and Position | Kathryn Watson (CO-OWNER/CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5126232050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kannon Health Llc 12600 Hill Country Blvd Ste R-130 Pmb 1018 Bee Cave TX 78738 Ph: (512) 470-8811 | Kannon Health Llc 2727 Exposition Blvd Ste 105 Austin TX 78703-1227 Ph: (512) 478-6419 |
| NPI Number | 1912789595 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 07/12/2024 |
| Medicare PECOS PAC ID | 7113376443 |
|---|---|
| Medicare Enrollment ID | O20231212004003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912789595 | NPI | - | NPPES |
| Provider Name | Kathryn Watson Ching |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1801232327 PECOS PAC ID: 8022467356 Enrollment ID: I20231213000552 |
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