NPIMap

Organization Active NPI

Klahhane Endeavors

Doing business as Renaissance

  • Specialist
  • Port Angeles, WA
National Provider Identifier
1952522948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00021304 Issued in WA
Legal business name
KLAHHANE ENDEAVORS
Doing business as
Renaissance
Practice address
401 E Front St
Port Angeles, WA 98362-3113
Phone
(360) 565-1199
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lynn D Keenan, PHD, LMPNPI 1528111630
Title
Owner
Phone
(360) 565-1199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00021304 WA Primary

Addresses

Primary practice location

401 E Front St
Port Angeles, WA 98362-3113

Mailing address

215 Klahanne Ridge Dr
Port Angeles, WA 98362-8226
Phone (360) 565-1199

Other names 1

  • Renaissance Doing business as

National Provider Directory

National Provider Directory

Locations

401 E Front St
Port Angeles, WA 98362
Phone (360) 565-1199

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952522948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 KLAHANNE RIDGE DR",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983628226",
            "telephone_number": "360-565-1199",
            "fax_number": "360-565-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623113",
            "telephone_number": "360-565-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAHHANE ENDEAVORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-565-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00021304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.