Provider Demographics
NPI:1851103444
Name:DIONNE NEUROLOGY LLC
Entity type:Organization
Organization Name:DIONNE NEUROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KALEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIONNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-330-2020
Mailing Address - Street 1:811 E 8TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-3104
Mailing Address - Country:US
Mailing Address - Phone:636-330-2020
Mailing Address - Fax:
Practice Address - Street 1:811 E 8TH ST STE 102
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-3104
Practice Address - Country:US
Practice Address - Phone:636-330-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty