| Dionne Neurology Llc | |
|
811 E 8th St Ste 102 Washington MO 63090-3104 | |
| (636) 330-2020 | |
| Not Available |
| Full Name | Dionne Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 811 E 8th St Ste 102, Washington, Missouri |
| Authorized Official Name and Position | Kalen Dionne (OWNER) |
| Authorized Official Contact | 6363302020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dionne Neurology Llc 811 E 8th St Ste 102 Washington MO 63090-3104 Ph: (636) 330-2020 | Dionne Neurology Llc 811 E 8th St Ste 102 Washington MO 63090-3104 Ph: (636) 330-2020 |
| NPI Number | 1851103444 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 3870022049 |
|---|---|
| Medicare Enrollment ID | O20250203000868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851103444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kalen R Dionne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841672441 PECOS PAC ID: 7618281304 Enrollment ID: I20190730000577 |
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