Brewer, Kenneth R
Brewer, Kenneth R is an individual health care provider with primary practice located at 1708 Yakima Ave Ste 110, Tacoma WA 98405-5307. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brewer, Kenneth R can be contacted via phone (253) 627-9151.Contact Information
Primary practice address
1708 Yakima Ave Ste 110
Tacoma WA 98405-5307
Phone: (253) 627-9151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO00000585 | Washington |
Profile Details
| NPI number | 1760415657 |
|---|---|
| LBN Legal business name | Brewer, Kenneth R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 16th, 2010 - about 14 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 | 1760415657 | NPPES |
| Washington | Other | 480033767 | MEDICARE RAILROAD |
| Washington | Other | 480033768 | MEDICARE RAILROAD |
| Washington | Other | 8936260 | MEDICARE RAILROAD |
| Washington | Other | 8936261 | MEDICARE RAILROAD |
| Washington | Other | 0226419 | MEDICARE RAILROAD |
| Washington | Other | 158900 | MEDICARE RAILROAD |
| Washington | Other | 0158901 | MEDICARE RAILROAD |
| Washington | MEDICAID | 8311193 | MEDICARE RAILROAD |
Popular Providers
-
Webb, Gregory E
1812 S J St #102, Tacoma WA 98405-4964 -
Brickman, Rebecca E
7808 Pacific Ave 1 , Tacoma WA 98408-7039 -
Luckett, Jeffrey Joe
9600 Veterans Dr Sw , Tacoma WA 98493-0003 -
Huang, Dennis
Madigan Army Medical Center 9040 Jackson Ave , Tacoma WA 98431-0001 -
Leonheart, Eric Edward
9040 Jackson Avenue Madigan Army Medical Center , Tacoma WA 98431-5820 -
Thompson, Jacob Dean
9040-A Fitzsimmons Dr , Tacoma WA 98431-1100 -
Nguyen, Ha Quang
1206 S 11Th St Bldg 2, Tacoma WA 98405-4099 -
Hento, Heather Appril
7800 Pacific Ave #1, Tacoma WA 98408-7050