NPI 1467990861

Summer Kenyon

Practitioner Prevention Professional Lakewood, WA

Practice location

Address: 7504 86th St SW, Lakewood, WA 98498-6176
Phone: (253) 212-2036
Mailing address: 5014 S Wapato St, Tacoma, WA 98409-7136

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence MA 60658265 (WA)

Other Prevention Professional providers in Washington →

Registry record

NPI: 1467990861
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2017
Record last updated: 9 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.