person
Kenneth R Brewer, DPM
Foot & Ankle Surgery Podiatrist in Tacoma, Washington
NPI 1760415657

Kenneth R Brewer is a Foot & Ankle Surgery Podiatrist based in Tacoma, WA and is specialized in Foot & Ankle Surgery. Kenneth R Brewer practices in Tacoma, WA and has the professional credentials of DPM. The NPI Number for Kenneth R Brewer is 1760415657 and holds a License No. PO00000585 (Washington).

The current practice location address for Kenneth R Brewer is 1708 Yakima Ave, Tacoma, WA and can be reached out via phone at 253-627-9151.

Location: 1708 Yakima Ave, Tacoma, WA, 98405-5307
person
Provider Profile Details
NPI Number
1760415657
Provider Name
Kenneth R Brewer
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1708 Yakima Ave, Tacoma, WA, 98405-5307
Phone Number
253-627-9151
Fax Number
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480033767 01 WA MEDICARE RAILROAD
480033768 01 WA MEDICARE RAILROAD
8936260 01 WA STATE CRIME VICTIMS
8936261 01 WA STATE CRIME VICTIMS
0226419 01 WA STATE L&I
158900 01 WA STATE L&I
0158901 01 WA STATE L&I
8311193 05 WA
institution
Provider Business Practice Location Address Details
Address
1708 Yakima Ave
City
State
Zip
98405-5307
Phone Number
253-627-9151
Fax Number
person
Provider Business Mailing Address Details
Address
1708 Yakima Ave
City
State
Zip
98405-5307
Phone Number
253-627-9151
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO00000585 (Washington)
Definition
Definition to come...
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