Provider Demographics
NPI:1427311737
Name:RONNOW, KATHERINE LYNN (BS, MS)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LYNN
Last Name:RONNOW
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:LYNN
Other - Last Name:KHATTAB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, MS
Mailing Address - Street 1:8009 W PARKWAY BLVD
Mailing Address - Street 2:#304
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-5587
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:650 S PEORIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-4429
Practice Address - Country:US
Practice Address - Phone:918-587-9471
Practice Address - Fax:918-560-1399
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator