Brewer, Kenneth R
Brewer, Kenneth R is an individual health care provider with primary practice located at 1708 Yakima Ave Ste 110, Tacoma WA 98405-5307. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brewer, Kenneth R can be contacted via phone (253) 627-9151.Contact Information
Primary practice address
1708 Yakima Ave Ste 110
Tacoma WA 98405-5307
Phone: (253) 627-9151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO00000585 | Washington |
Profile Details
| NPI number | 1760415657 |
|---|---|
| LBN Legal business name | Brewer, Kenneth R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 16th, 2010 - about 16 years 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 | 1760415657 | NPPES |
| Washington | Other | 480033767 | MEDICARE RAILROAD |
| Washington | Other | 480033768 | MEDICARE RAILROAD |
| Washington | Other | 8936260 | MEDICARE RAILROAD |
| Washington | Other | 8936261 | MEDICARE RAILROAD |
| Washington | Other | 0226419 | MEDICARE RAILROAD |
| Washington | Other | 158900 | MEDICARE RAILROAD |
| Washington | Other | 0158901 | MEDICARE RAILROAD |
| Washington | MEDICAID | 8311193 | MEDICARE RAILROAD |
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