Kevin S Kennedy is a Otolaryngology in Tacoma, Washington. Kevin S Kennedy practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Kevin S Kennedy is 1649298134. The last update date is 2007-07-20.
Kevin S Kennedy's current location address is 1818 So Union Ave, Tacoma, Washington. You can contact this provider via phone number 2536277567 and fax number 2536274778. The mailing address for Kevin S Kennedy is 1818 So Union Ave, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin S Kennedy |
|---|---|
| Address | 1818 So Union Ave, Tacoma, Washington |
| Phone Number | 2536277567 |
| Fax Number | 2536274778 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1649298134 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-20 |
Provider Mailing Address Detail
| Address | 1818 So Union Ave |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984051953 |
| Phone Number | 2536277567 |
| Fax Number | 2536274778 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | OP00001295 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1072040 | WA | -- | |
| 72498 | WA | DEPT OF LABOR & INDUSTRY | |
| KE4773 | WA | REGENCE BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kevin S Kennedy by the Centers for Medicare & Medicaid Services?
The Kevin S Kennedy has been issued the NPI (National Provider Identifier) 1649298134 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kevin S Kennedy is physically located?
The Kevin S Kennedy is physically situated at the following address: 1818 So Union Ave, Tacoma, WA, 984051953.
What is Kevin S Kennedy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin S Kennedy's area of specialization is Otolaryngology, and the corresponding taxonomy code that categorizes this field of practice is 207Y00000X.
When did the Kevin S Kennedy receive its 1649298134?
The Kevin S Kennedy was issued its 1649298134 on 2006-07-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kevin S Kennedy most recently updated or revised?
The information pertaining to Kevin S Kennedy, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-20.
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