DR. KEVIN LYNN TERRY (NPI# 1477616811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477616811 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LYNN TERRY |
| Credential | D.C. |
| Practice Address |
111 E Stewart Ave Puyallup WA 98372-3008 |
| Practice Telephone | 2538450543 |
| Practice Fax Number | 2538486788 |
| Mailing Telephone | 2538450543 |
| Mailing Fax Number | 2538486788 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00002891 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 39044 | 01 |
| WA | REGENCE RIDER | TE6127 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356818215 | Kevin Terry | Counselor | 1547 Parkway, Greenwood, SC 29646-4081 | 2018-10-30 |
| 1609010206 | Kevin Terry | Case Manager/Care Coordinator | 9150 Imperial Hwy Rm P-31, Downey, CA 90242-2835 | 2009-04-27 |
| 1699812198 | Kevin Terry | Podiatrist | 1205 York Rd, Suite 17, Lutherville, MD 21093-6210 | 2007-01-31 |
| Street Address |
111 E STEWART AVE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255728291 | Tyson Terry | Chiropractor | 111 E Stewart Ave, Puyallup, WA 98372-3008 | 2015-04-16 |
| 1558425934 | Maria Elizabeth Sauers | Specialist | 111 E Stewart Ave, Puyallup, WA 98372-3008 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356816706 | Tiffany Morris | Chiropractor | 5610 176th St E Ste D105, Puyallup, WA 98375-9305 | 2018-10-11 |
| 1659731974 | Life Force Chiropractic of Puyallup Inc | Chiropractor | 13333 Meridian E Ste H, Puyallup, WA 98373-2405 | 2016-02-29 |
| 1205186277 | Dean Raymond Gerimonte II | Chiropractor | 11319 122nd St E, Puyallup, WA 98374-2819 | 2012-09-17 |
| 1841548625 | Rainier Sports and Spinal Rehab, Inc | Chiropractor | 13613 Meridian East, Suite #260, Puyallup, WA 98373 | 2012-08-27 |
| 1205193364 | Patrick Campbell Mcauley II | Chiropractor | 9002 190th St E, Puyallup, WA 98375-6157 | 2012-04-13 |
| 1922321330 | Jack Orville Kantola | Chiropractor | 12815 Canyon Rd E Ste K, Puyallup, WA 98373-5104 | 2010-03-12 |
| 1962649244 | Integrity Chiropractic | Chiropractor | 2825 E Main Ave, Puyallup, WA 98372-3167 | 2009-01-08 |
| 1215191762 | The Chiropractic Place, P.s. | Chiropractor | 11803 101st Ave E Ste 100, Puyallup, WA 98373-3473 | 2008-07-14 |
| 1598946253 | Erik William Gilbertson | Chiropractor | 1420 S Meridian, Suite A, Puyallup, WA 98371-6914 | 2007-11-21 |
| 1134347214 | Leslie Mark Merwin | Chiropractor | 15311 Canyon Rd E, Puyallup, WA 98375-7473 | 2007-04-23 |
| Find all providers in PUYALLUP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.