Kingdon, Kenneth Michael

Kingdon, Kenneth Michael is an individual health care provider with primary practice located at Po Box 577 , Brewster WA 98812-0577. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kingdon, Kenneth Michael can be contacted via phone (509) 689-2517.

Contact Information

Primary practice address
Po Box 577 Brewster WA 98812-0577
Phone: (509) 689-2517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD61498906 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X P4471 Texas
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X P4471 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X P4471 Texas

Profile Details

NPI number 1114067196
LBN Legal business name Kingdon, Kenneth Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated May 21st, 2024 - about last year

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 1114067196 NPPES
Illinois MEDICAID 036126885

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