KENNETH JAMES BROWN (NPI# 1477710168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477710168 |
| Entity Type | Individual |
| Full Name | KENNETH JAMES BROWN |
| Credential | NP |
| Practice Address |
121 Oak Bay Rd Port Hadlock WA 98339 |
| Mailing Address |
121 Oak Bay Road Port Hadlock WA 98339 |
| Practice Telephone | 3603796737 |
| Practice Fax Number | 3603796518 |
| Mailing Telephone | 3603796737 |
| Mailing Fax Number | 3603796518 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00054562 | WA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30004528 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | TAX ID | 571223565 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491479 | Kenneth Brown | Physical Therapist | 25 Kilmer Drive, Bldg 3, Ste 103, Morganville, NJ 07751-1561 | 2020-09-10 |
| 1528697406 | Kenneth Elwood Brown Jr. | Non-emergency Medical Transport (VAN) | 2056 Integrity Dr S, Columbus, OH 43209-2728 | 2020-04-03 |
| 1023487121 | Kenneth Brown IIi | Specialist/Technologist | 1500 S Sioux Dr, Olathe, KS 66062-2416 | 2015-09-18 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1336584002 | Kenneth Brown | Physical Therapy Assistant | 4200 W Lake Ave, Apt B202, Glenview, IL 60026-1472 | 2013-05-07 |
| 1346519808 | Kenneth James Brown II | Counselor | 2077 Raintree Pl, Lithonia, GA 30058-7956 | 2011-12-29 |
| 1851695670 | Kenneth D Brown | Podiatrist | 7354 Crackling Creek Cir, West Bloomfield, MI 48322-4503 | 2011-01-09 |
| 1689997371 | Kenneth R Brown | Internal Medicine | 102 S Ann St, Lancaster, PA 17602-4381 | 2010-03-09 |
| 1336478650 | Kenneth Adonis Brown | Rehabilitation Practitioner | 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 | 2009-12-15 |
| 1396979290 | Kenneth Brown | Counselor | 751 Debarr Ave, Norman, OK 73069-4907 | 2009-05-06 |
| Street Address |
121 OAK BAY RD |
| City | PORT HADLOCK |
| State | WA |
| Zip Code | 98339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912951765 | Eric Christian Nelson | Nurse Practitioner | 121 Oak Bay Rd, Port Hadlock, WA 98339 | 2006-05-19 |
| 1831274471 | Port Hadlock Medical Care LLC | Specialist | 121 Oak Bay Rd, Port Hadlock, WA 98339-8718 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760868129 | Cristie Anne Vancamp | Massage Therapist | 863-d Ness Corner Road, Port Hadlock, WA 98339 | 2015-08-07 |
| 1689956567 | Tri-area Rx LLC | Pharmacy | 65 Oak Bay Road, Port Hadlock, WA 98339 | 2011-09-15 |
| 1063793198 | Renaldo Ganir | Pharmacist | 65 Oak Bay Rd, Port Hadlock, WA 98339 | 2011-09-02 |
| 1942474887 | Lisa Madelle Bottomley | Counselor | 219c West Patison, Port Hadlock, WA 98339 | 2008-04-22 |
| 1154504330 | Laura Lee Nastri | Counselor | 101 Oak Bay Road, Port Hadlock, WA 98339 | 2007-12-11 |
| 1083834675 | Dentistry Northwest | Dentist | 131 Randolph St, Port Hadlock, WA 98339 | 2007-04-26 |
| 1407937501 | John David Barrett | Dentist | 131 Randolph Street, Port Hadlock, WA 98339 | 2006-10-17 |
| 1467542985 | David O Schores | Optometrist | 150 Chimacum Rd., Port Hadlock, WA 98339 | 2006-10-13 |
| 1518971498 | Christina M Hellwich | Physical Therapist | 27 Colwell, Port Hadlock, WA 98339 | 2006-07-28 |
| 1245257054 | Ann M Failoni | Nurse Practitioner | 661 Ness Corner Rd, Port Hadlock, WA 98339 | 2006-07-16 |
| Find all providers in zip 98339 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700874575 | Jeanne Battenburg | Nurse Practitioner | 121 Oak Bay Road, Port Hadlock, WA 98339 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889369 | Abigail E Mercure | Nurse Practitioner | 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 | 2020-10-24 |
| 1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
| 1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
| 1164029484 | Chelsea Lauren Bresnahan | Nurse Practitioner | 7928 S Parway Ln, Cheney, WA 99004-8619 | 2020-10-08 |
| 1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1740896927 | Maia Zink | Nurse Practitioner | 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 | 2020-09-22 |
| 1760098339 | Yunyun Lu | Nurse Practitioner | 4922 51st Avenue Ct W, University Place, WA 98467-4828 | 2020-09-19 |
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | PORT HADLOCK |
| Zip Code | 98339 |
Please comment or provide details below to improve the information on KENNETH JAMES BROWN.
| 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.