Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER MICHAEL KENNEDY
Active Sole ProprietorTANNER MICHAEL KENNEDY is a Home Health Aide healthcare provider located in GRANITE FALLS, Washington. NPI 1659832822 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · GRANITE FALLS, WA
Registration Details
- NPI Number
- 1659832822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2019 (7.4247823275146 yrs)
- Last Updated
- Mar 28, 2019
- License
-
HM60927797 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17807 CROOKED MILE RD APT 7GRANITE FALLS, WA, 982528742Browse WA providers · Browse ZIP 98252
- Phone
- 4255983600
- Primary Specialty
-
Home Health Aide
374U00000X
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.