Kenneth R Brewer in Tacoma - Foot & Ankle Surgery

Kenneth R Brewer - NPI 1760415657

Kenneth R Brewer is a Foot & Ankle Surgery in Tacoma, Washington. Kenneth R Brewer practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Kenneth R Brewer is 1760415657. The last update date is 2010-11-16.

Kenneth R Brewer's current location address is 1708 Yakima Ave, Tacoma, Washington. You can contact this provider via phone number 2536279151. The mailing address for Kenneth R Brewer is 1708 Yakima Ave, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth R Brewer
Address 1708 Yakima Ave, Tacoma, Washington
Phone Number 2536279151
Fax Number
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1760415657
Provider Enumeration Date 2006-07-07
Last Updated Date 2010-11-16

Provider Mailing Address Detail

Address 1708 Yakima Ave
City Tacoma
State Washington (WA)
Post Code 984055307
Phone Number 2536279151
Fax Number

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No PO00000585
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
480033767 WA MEDICARE RAILROAD
480033768 WA MEDICARE RAILROAD
8936260 WA STATE CRIME VICTIMS
8936261 WA STATE CRIME VICTIMS
226419 WA STATE L&I
158900 WA STATE L&I
158901 WA STATE L&I
8311193 WA --

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FAQs about Kenneth R Brewer

What is the unique identifier code issued to Kenneth R Brewer by the Centers for Medicare & Medicaid Services (CMS)?

The Kenneth R Brewer has been assigned the NPI (National Provider Identifier) 1760415657. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Kenneth R Brewer's physical address?

The Kenneth R Brewer is physically located at 1708 Yakima Ave, in the city of Tacoma, WA, with the postal code 984055307.

What is the Kenneth R Brewer's area of specialization and corresponding taxonomy classification?

The Kenneth R Brewer's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.

On what date did the Kenneth R Brewer receive its 1760415657 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth R Brewer was assigned its 1760415657 by the Centers for Medicare & Medicaid Services on 2006-07-07.

When was the Kenneth R Brewer's information last updated?

The Kenneth R Brewer's information was last updated on 2010-11-16.

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