Kenneth Ray Stillwell in Tacoma - Chiropractor
Kenneth Ray Stillwell - NPI 1790960813
Kenneth Ray Stillwell is a Chiropractor in Tacoma, Washington. Kenneth Ray Stillwell practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kenneth Ray Stillwell is 1790960813. The last update date is 2008-01-15.
Kenneth Ray Stillwell's current location address is 4537 Yakima Ave, Tacoma, Washington. You can contact this provider via phone number 2534753334 and fax number 2534750875. The mailing address for Kenneth Ray Stillwell is 4537 Yakima Ave, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Ray Stillwell |
|---|---|
| Address | 4537 Yakima Ave, Tacoma, Washington |
| Phone Number | 2534753334 |
| Fax Number | 2534750875 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1790960813 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2008-01-15 |
Provider Mailing Address Detail
| Address | 4537 Yakima Ave |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984184929 |
| Phone Number | 2534753334 |
| Fax Number | 2534750875 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00001328 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identifier code issued to Kenneth Ray Stillwell by the Centers for Medicare & Medicaid Services?
The Kenneth Ray Stillwell has been assigned the NPI (National Provider Identifier) 1790960813. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kenneth Ray Stillwell is physically located?
The Kenneth Ray Stillwell is situated at the following address: 4537 Yakima Ave, Tacoma, WA 984184929.
What is Kenneth Ray Stillwell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth Ray Stillwell is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790960813 to Kenneth Ray Stillwell?
The Kenneth Ray Stillwell received its 1790960813 assignment from the Centers for Medicare & Medicaid Services on 2008-01-08.
When was the information pertaining to Kenneth Ray Stillwell most recently updated or revised?
The details related to Kenneth Ray Stillwell, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-15.