Haverkamp, Kenneth K.

Haverkamp, Kenneth K. is an individual health care provider with primary practice located at 11511 Ne 10Th St , Bellevue WA 98004-8578. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Haverkamp, Kenneth K. can be contacted via phone (425) 502-3000.

Contact Information

Primary practice address
11511 Ne 10Th St Bellevue WA 98004-8578
Phone: (425) 502-3000
Fax: (425) 502-3589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004778 Washington

Profile Details

NPI number 1487703518
LBN Legal business name Haverkamp, Kenneth K.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Apr 13th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487703518 NPPES
Washington MEDICAID 8445488

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