Search › Washington › 374U00000X
Tanner Kennedy
NPI 1659832822 · on the registry since 2019 · sole proprietor
Practice
- Address
- 17807 Crooked Mile Rd Apt 7
Granite Falls, WA 98252 - Phone
- (425) 598-3600
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington