Bakken, Kenneth Lynn
Bakken, Kenneth Lynn is an sole proprietor health care provider with primary practice located at 2200 N 30Th St Suite 201, Tacoma WA 98403-3364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Bakken, Kenneth Lynn can be contacted via phone (253) 779-5858.Contact Information
Primary practice address
2200 N 30Th St Suite 201
Tacoma WA 98403-3364
Phone: (253) 779-5858
Fax: (253) 779-5757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | OP00000753 | Washington |
Profile Details
| NPI number | 1619052289 |
|---|---|
| LBN Legal business name | Bakken, Kenneth Lynn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619052289 | NPPES |
| Washington | MEDICAID | 1116359 | |
| Washington | Other | OP00000753 |
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