Breeden, Kenneth E
Breeden, Kenneth E is an individual health care provider with primary practice located at 965 Goethals Dr , Richland WA 99352-3527. He recently has 6 registered licenses in different health care specialties including Dental Providers / General Practice, Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Breeden, Kenneth E can be contacted via phone (509) 460-5588.Contact Information
Primary practice address
965 Goethals Dr
Richland WA 99352-3527
Phone: (509) 460-5588
Fax: (509) 783-5438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00010299 | Washington |
| Other Service Providers / Acupuncturist | 171100000X | OP00001987 | Washington |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | OP00001987 | Washington |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | OP00001987 | Washington |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | OP00001987 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP00001987 | Washington |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | OP00001987 | Washington |
Profile Details
| NPI number | 1417900309 |
|---|---|
| LBN Legal business name | Breeden, Kenneth E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 16th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417900309 | NPPES |
| Washington | MEDICAID | 1009897 | |
| Washington | Other | P01344361 | |
| Washington | MEDICAID | 8434599 |
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