Kennedy, Kevin S

Kennedy, Kevin S is an sole proprietor health care provider with primary practice located at 1818 So Union Ave #2-C, Tacoma WA 98405-1953. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kennedy, Kevin S can be contacted via phone (253) 627-7567.

Contact Information

Primary practice address
1818 So Union Ave #2-C Tacoma WA 98405-1953
Fax: (253) 627-4778
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X OP00001295 Washington

Profile Details

NPI number 1649298134
LBN Legal business name Kennedy, Kevin S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 20th, 2007 - about 17 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 1649298134 NPPES
Washington MEDICAID 1072040
Washington Other 72498
Washington Other KE4773

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