MR. KENNITH WAYNE FOWLER CP 60311706 NPI 1578160610

NPI Information

NPI: 1578160610
Provider Name: MR. KENNITH WAYNE FOWLER, CP 60311706
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
901 RAINIER AVE S
SEATTLE, WA
ZIP 98144
Phone: (206) 470-3856
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MR. Kennith Wayne Fowler, CP 60311706 is an addiction (substance use disorder) counselor in Seattle, WA. MR. Kennith Wayne Fowler, CP 60311706 NPI is 1578160610. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 RAINIER AVE S
SEATTLE, WA
ZIP 98144-839
Phone: (206) 470-3856

The enumeration date for this NPI number is 10/1/2020 and was last updated on 10/1/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP60311706	WASHINGTON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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