KENNETH R BREWER, DPM, Surgery, Foot & Ankle TACOMA, WA

Contact Information

KENNETH R BREWER, DPM

1708 YAKIMA AVE
STE 110
TACOMA, WA 98405-5307

Phone: 253-627-9151
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for KENNETH R BREWER · (Male)

NPI #	`1760415657`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	07/07/2006
Last updated	11/16/2010 - About 16 years ago
Sole proprietor ¹	No
Identifiers	WA License # PO00000585 WA Medicaid 8311193 WA Other 480033767 MEDICARE RAILROAD WA Other 480033768 MEDICARE RAILROAD WA Other 8936260 STATE CRIME VICTIMS WA Other 8936261 STATE CRIME VICTIMS WA Other 0158901 STATE L&I WA Other 0226419 STATE L&I WA Other 158900 STATE L&I
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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KENNETH R BREWER, DPM – NPI #1760415657Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for KENNETH R BREWER · (Male)

Reviews for KENNETH R BREWER

KENNETH R BREWER, DPM – NPI #1760415657
Surgery, Foot & Ankle