Kennedy Mykel Emerson

Peer Specialist · Aberdeen, WA

Individual Active NPI

NPI number 1124619044

Practice location

224 E Wishkah St
Aberdeen, WA 98520-6513
Phone
(360) 532-9050

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NPI record

NPI
1124619044
Entity type
Individual (Type 1)
Enumeration date
February 2, 2021
Last updated
February 2, 2021
Certified
February 2, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — WA

About Kennedy Emerson

Kennedy Mykel Emerson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 224 E Wishkah St, Aberdeen, WA 98520-6513. The NPI number 1124619044 was assigned on February 2, 2021 and the record was last updated on February 2, 2021.

Frequently asked questions

What is the NPI number of Kennedy Mykel Emerson?

The NPI number is 1124619044.

What is the phone number of Kennedy Emerson?

The phone number listed for the practice location is (360) 532-9050.

Where is Kennedy Emerson located?

224 E Wishkah St, Aberdeen, WA 98520-6513.

What is the taxonomy code for Kennedy Emerson?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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