DR. KENNETH EUGENE ELY D.C. NPI 1346394400

NPI Information

NPI: 1346394400
Provider Name: DR. KENNETH EUGENE ELY, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
365 H ST
BLAINE, WA
ZIP 98230
Phone: (360) 332-4730
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DR. Kenneth Eugene Ely, D.C. is a chiropractor in Blaine, WA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Kenneth Eugene Ely, D.C. NPI is 1346394400. 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:

365 H ST
BLAINE, WA
ZIP 98230-109
Phone: (360) 332-4730
Fax: (360) 332-3309

The enumeration date for this NPI number is 1/23/2007 and was last updated on 10/4/2016.

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	111N00000X	Chiropractor		1485	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	Other Provider Identifier Issuer
1	1668403003	OTHER	WASHINGTON	CIGNA PAL
2	91-1218101	OTHER	WASHINGTON	FED EMP. ID #
3	34345	OTHER	WASHINGTON	DEPT. OF LABOR & INDUST.
4	2065308	OTHER	WASHINGTON	DSHS
5	7785313	OTHER	WASHINGTON	AETNA
6	350019617	OTHER	WASHINGTON	PALMETTO RAIL MED.
7	360320000	OTHER	WASHINGTON	BCBS
8	001400059	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	MEDICARE

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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