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:
Health care specialties
Specialty | Code | License # | 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 3 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 | 1487703518 | NPPES |
Washington | MEDICAID | 8445488 |
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