MR. KEN S. HEILBRUNN M.D. NPI 1285686394

NPI Information

NPI: 1285686394
Provider Name: MR. KEN S. HEILBRUNN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
545 ANDOVER PARK W
# 109
TUKWILA, WA
ZIP 98188
Phone: (206) 467-1949
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MR. Ken S. Heilbrunn, M.D. is a diagnostic radiology radiology in Tukwila, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MR. Ken S. Heilbrunn, M.D. NPI is 1285686394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

545 ANDOVER PARK W
# 109
TUKWILA, WA
ZIP 98188
Phone: (206) 467-1949
Fax: (206) 467-1912

The enumeration date for this NPI number is 5/17/2006 and was last updated on 7/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MD00013791	WASHINGTON	No
2	2085R0202X	Radiology	Diagnostic Radiology	MD00013791	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B18186	MEDICARE UPIN	WASHINGTON
2	1055670	MEDICAID	WASHINGTON
3	10556760	MEDICAID	WASHINGTON
4	G000106155	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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