Runte, Kennan Thomas

Runte, Kennan Thomas is an individual health care provider with primary practice located at 123 Margaret Lane Ste B-1, Grass Valley CA 95945. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Runte, Kennan Thomas can be contacted via phone (530) 477-7200.

Contact Information

Primary practice address
123 Margaret Lane Ste B-1 Grass Valley CA 95945
Phone: (530) 477-7200
Fax: (530) 477-1246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E37870 California

Profile Details

NPI number 1134196751
LBN Legal business name Runte, Kennan Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134196751 NPPES
California MEDICAID E38771
California Other ZZZ06288Z

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