Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNADY LAKE, AAC, CPC
ActiveKENNADY LAKE, AAC, CPC is a Peer Specialist healthcare provider located in LONGVIEW, Washington. NPI 1619747649 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · LONGVIEW, WA
Registration Details
- NPI Number
- 1619747649
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2024 (2.6227216138761 yrs)
- Last Updated
- Jan 2, 2024
- License
-
CG61505391 (WA)
Practice Information
- Address
-
1400 COMMERCE AVELONGVIEW, WA, 986323756Browse WA providers · Browse ZIP 98632
- Phone
- 3609982047
- Fax
- 3602006736
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in LONGVIEW, WA
| Name | Credential | NPI |
|---|---|---|
| VINCENT JOHN STRAUBE | — | 1891074076 |
| MS. AMY MARIE ELSA HEISEL | — | 1306390174 |
| MS. NANCY A BELL | — | 1578017257 |
| DEANA MATEO | — | 1699216440 |
| MRS. KIMBERLY DENISE SMITH | CPC | 1184140881 |
| BRITTANY NICOLE MARTIN | — | 1427560838 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.