Kenneth Robert Lewis, CP00004923

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CP00004923 Issued in WA

Practice address

9412 W 5TH PL
Kennewick, WA 99336-9603

Phone

(509) 396-7510

NPI assigned

Jun 4, 2009

Last updated

Jun 4, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1629204649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 W 5TH PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993369603",
            "telephone_number": "509-396-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 W 5TH PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993369603",
            "telephone_number": "509-396-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "CP00004923",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CP00004923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan Leonard
• James E Leonard, DDS
• Robert Matthew Leonard
• Dana Justeen Leverett, MSW
• Maddie Isabel Levesque, BA
• Natalie Lichtenhahn
• Joanna O Licon
• Alison Licquia
• Kevin Michael Liebe, AUD
• Allen Liebing, D.C., M.S.

• Case Manager/Care Coordinator in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.