| Kathryn Jones, | |
|
825 Se Bishop Blvd Ste 130, Pullman, WA 99163-5517 | |
| (509) 338-0632 | |
| (509) 715-2130 |
| Full Name | Kathryn Jones |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 825 Se Bishop Blvd Ste 130, Pullman, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245775444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OP70020242 (Washington) | Primary |
| 208600000X | Surgery | 2016022781 (Missouri) | Secondary |
| Entity Name | Comanche County Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053352690 PECOS PAC ID: 0749192433 Enrollment ID: O20031106000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Jones, 825 Se Bishop Blvd Ste 130, Ste 103, Pullman, WA 99163-5517 Ph: (509) 338-0632 | Kathryn Jones, 825 Se Bishop Blvd Ste 130, Pullman, WA 99163-5517 Ph: (509) 338-0632 |
Ronald F Martin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 130, Pullman, WA 99163 Phone: 509-338-0632 | |
Nancy Bishop Panko, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 130, Pullman, WA 99163 Phone: 509-338-0632 Fax: 509-715-2130 | |
Justine A Gavagan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 130, Pullman, WA 99163 Phone: 509-338-0632 Fax: 509-715-2130 | |
Juan David Parra Valencia, MD Surgery Medicare: Medicare Enrolled Practice Location: 825 Se Bishop Blvd, Suite 130, Pullman, WA 99163 Phone: 206-890-7354 | |
Dr. John Stephen Visger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 825 Se Bishop Blvd, Suite 130, Pullman, WA 99163 Phone: 509-338-0632 Fax: 509-715-2130 |