KENNETH R BREWER


Address: 1708 Yakima Ave, Ste 110, Tacoma, WA 98405-5307
Phone: 2536279151

KENNETH R BREWER (NPI# 1760415657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760415657
Entity Type Individual
Full Name KENNETH R BREWER
Credential DPM
Practice Address 1708 Yakima Ave
Ste 110
Tacoma
WA 98405-5307
Practice Telephone 2536279151
Mailing Telephone 2536279151
Enumeration Date 2006-07-07
Last Update Date 2010-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
PO00000585 WA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA STATE CRIME VICTIMS 8936260 01
WA STATE L&I 0226419 01
WA 8311193 05
WA MEDICARE RAILROAD 480033768 01
WA STATE L&I 0158901 01
WA MEDICARE RAILROAD 480033767 01
WA STATE L&I 158900 01
WA STATE CRIME VICTIMS 8936261 01

Other Providers KENNETH BREWER

NPI Name Taxonomy Address Enumeration
1871089052 Kenneth D Brewer Dietitian, Registered 915 W Northern Lights Blvd, Anchorage, AK 99503-2408 2018-07-10

Office Location

Street Address 1708 YAKIMA AVE
STE 110
City TACOMA
State WA
Zip Code 98405-5307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598758484 Manuel Guillermo Iregui Internal Medicine 1708 Yakima Ave, Suite 300, Tacoma, WA 98405-5307 2005-08-25
1356962401 Austin Frazer Forbes Surgery 1708 Yakima Ave, Tacoma, WA 98405-5307 2020-04-29
1982146684 Sharleen Huon Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-11
1053853903 Christine Ibrahim Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-09
1598207524 Inna Vasilyev Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-08
1346782562 Shawn Hagland Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-07
1427500867 Ferowsi Pecoraro Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-02
1700338530 Cynthia Hinds Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-10-27
1114477064 Kayla Grzybowski Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-10-04
1619427515 Jessica Chung Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265844385 Kaitlyn Leigh Laube Ward Podiatrist 7808 Pacific Ave Ste 1, Tacoma, WA 98408 2014-05-22
1245379486 W Joseph Barrett Podiatrist 2811 S 12th St, Tacoma, WA 98405-2746 2007-02-05
1407886617 Rebecca E Brickman Podiatrist 7808 Pacific Ave 1, Tacoma, WA 98408-7039 2006-07-04
1124085709 Eric Edward Leonheart Podiatrist 9040 Jackson Avenue Madigan Army Medical Center, Tacoma, WA 98431-5820 2006-04-27
1508825449 Ha Quang Nguyen Podiatrist 1206 S 11th St, Bldg 2, Tacoma, WA 98405-4099 2006-03-20
1396740254 Dennis Huang Podiatrist Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2005-06-16
1144756677 Chalee Yimyam Podiatrist 9040 Jackson Ave, Tacoma, WA 98431-7711 2017-05-03
1679926398 Kyle Kenoyer Podiatrist 7808 Pacific Ave Ste 1, Tacoma, WA 98408-7039 2016-07-18
1619270923 Jacob Dean Thompson Podiatrist 9040-a Fitzsimmons Dr, Tacoma, WA 98431-1100 2010-12-08
1386970879 Franciscan Medical Group Podiatrist 2420 S Union Ave, Ste 300, Tacoma, WA 98405-1322 2009-10-19
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Competitor

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City TACOMA
Zip Code 98405

Improve Information

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Dataset Information

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.

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