MR. KEVIN DUANE HENDERSON (NPI# 1720070477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720070477 |
| Entity Type | Individual |
| Full Name | MR. KEVIN DUANE HENDERSON |
| Credential | DC |
| Practice Address |
2040 6th Ave Tacoma WA 98403-1045 |
| Practice Telephone | 2535721881 |
| Practice Fax Number | 2535725682 |
| Mailing Telephone | 2535721881 |
| Mailing Fax Number | 2535725682 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2010-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 025202 CHOOOO202 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | ASH NETQORK | KH1021774 | 01 |
| WA | PREMERA BLUE CROSS SHIELD | 911471138 | 01 |
| WA | AETNA | 911471138 | 01 |
| WA | REGENCE RIDER NUMBER | HE3793 | 01 |
| WA | CIGNA | 911471138 | 01 |
| WA | 2028538 | 05 | |
| WA | WORKERS COMP | 0070405 | 01 |
| WA | FIRST CHOICE HEALTH | 873745 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104210566 | Kevin Henderson | Counselor | 6791 Mitchell Dr, Columbus, GA 31907-3735 | 2015-03-24 |
| 1639663800 | Kevin Henderson | Behavior Technician | 732 Beckman St, Dayton, OH 45410-2165 | 2018-06-20 |
| 1710308671 | Kevin Henderson | Counselor | 2802 Broadway, Everett, WA 98201-3642 | 2013-12-19 |
| 1013252451 | Kevin Charles Henderson | Pharmacist | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2012-12-11 |
| 1992061576 | Kevin J Henderson | Counselor | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2012-04-08 |
| 1306001102 | Kevin Wayne Henderson | Internal Medicine | 800 Montclair Rd, Birmingham, AL 35213-1908 | 2008-07-22 |
| 1346298940 | Kevin Henderson | Emergency Medicine | 705 Dixie St, Carrollton, GA 30117-3818 | 2006-05-05 |
| Street Address |
2040 6TH AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98403-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568648301 | Rebecca Jean Boeh | Specialist | 2040 6th Ave, Tacoma, WA 98403-1045 | 2008-01-10 |
| 1881886703 | Linda L Jollo | Massage Therapist | 2040 6th Ave, Tacoma, WA 98409 | 2007-08-14 |
| 1366503039 | Randy Louis Smith | Chiropractor | 2040 6th Ave, Tacoma, WA 98403-1045 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336692482 | Tamara Paynter | Occupational Therapy Assistant | 15 North E Street, Apartment 38, Tacoma, WA 98403 | 2016-07-25 |
| 1457742280 | Zenergy Massage Clinic | Community Health Worker | 1310 N I St Suite B, Tacoma, WA 98403 | 2015-02-16 |
| 1205111218 | Andrew Smart | Pedorthist | 709 N. I St. Apt #3, Tacoma, WA 98403 | 2011-10-21 |
| 1801036694 | Louie Gabriele Hallie | Social Worker | 2205 N. 30th St., Suite B, Tacoma, WA 98403 | 2009-03-06 |
| 1336385897 | Colleen Anne Young | Counselor | 2622 Mccarver St., Tacoma, WA 98403 | 2009-01-05 |
| 1851503445 | Marilyn Delucia | Specialist | 105 Tacoma Ave N, Tacoma, WA 98403 | 2007-05-04 |
| 1396869855 | Charles Wayne Winchell | Massage Therapist | 722 Martin Luther King Ave., Tacoma, WA 98403 | 2007-03-19 |
| 1093864589 | Catholic Community Services of Western Washington | Clinic/Center | 1001 N J St, Tacoma, WA 98403 | 2007-01-10 |
| 1790840965 | Jonathan L Ritson | Physical Medicine & Rehabilitation | 2200 North 30th Street, Suite 201, Tacoma, WA 98403 | 2006-12-27 |
| 1578503157 | John C. Winskill, D.d.s., P.s. | Clinic/Center | 2215 N 30th St, Suit #104, Tacoma, WA 98403 | 2006-06-08 |
| Find all providers in zip 98403 | ||||
| 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 |
|---|---|---|---|---|
| 1083240287 | Zindt Chiropractic Center Pllc | Chiropractor | 3819 S. M St., Tacoma, WA 98418 | 2020-03-19 |
| 1346883949 | Nilda Liz Ramos Gonzalez | Chiropractor | 6105 Fawcett Ave, Tacoma, WA 98408-6329 | 2019-10-26 |
| 1164985958 | Bradley Warren Finlayson | Chiropractor | 6201 Pacific Ave Ste A, Tacoma, WA 98408-7423 | 2019-04-09 |
| 1396245635 | Raymond Chiropractic Inc | Chiropractor | 1702 S 72nd St Ste A, Tacoma, WA 98408-1238 | 2018-02-13 |
| 1659894020 | Brent Douglas Froberg | Chiropractor | 1201 Pacific Ave Ste 6006th, Tacoma, WA 98402-4301 | 2017-07-18 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1336526425 | Carlos Garcia | Chiropractor | 7817 Pacific Ave Ste A, Tacoma, WA 98408-7028 | 2015-04-28 |
| 1124413687 | Jessica Mitchell | Chiropractor | 6002 Westgate Blvd Ste 110, Tacoma, WA 98406-2580 | 2015-04-01 |
| 1598177792 | Elizabeth Collier | Chiropractor | 6901 6th Ave # 8, Tacoma, WA 98406-1705 | 2014-05-22 |
| 1790101483 | Patrick J Mcveigh | Chiropractor | 115 N Yakima Ave, Apt 501, Tacoma, WA 98403-2239 | 2014-03-05 |
| Find all providers in TACOMA | ||||
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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.