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
Health care specialties
Specialty | Code | License # | 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 4 months 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 | 1114067196 | NPPES |
Illinois | MEDICAID | 036126885 |
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