Kennel, David Robert
Kennel, David Robert is an sole proprietor health care provider with primary practice located at 5920 100Th St. Sw #31, Lakewood WA 98499-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kennel, David Robert can be contacted via phone (253) 584-3023.Contact Information
Primary practice address
5920 100Th St. Sw #31
Lakewood WA 98499-0000
Phone: (253) 584-3023
Fax: (253) 582-1222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00019823 | Washington |
Profile Details
| NPI number | 1952345563 |
|---|---|
| LBN Legal business name | Kennel, David Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952345563 | NPPES |
| Washington | MEDICAID | 1106046 |
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