Kenneth Lee Markline, BA

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

325 E Pioneer
Puyallup, WA 98372-3265

Phone

(253) 697-8400

NPI assigned

Sep 15, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1083336002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12009 91ST AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983737905",
            "telephone_number": "253-495-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E PIONEER",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723265",
            "telephone_number": "253-697-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLINE",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie March, ATC
• Cydne J Marckmann, ARNP
• Mark a. Tomski, MD
• Mark T. Ngo, D.M.D., P.S.
• Briana Catherine Markle, LMT
• Nasrin G Maronde, RPH
• Lucas Gomes Marques, MD
• Robert E. Marsh, M.D.
• William G Marsh, M.D.
• Dan Henry Martin, MD

• Cognitive & Behavioral Psychologist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Cognitive & Behavioral Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.