Sara Kate Kennedy, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00018630 Issued in WA

Practice address

204 Pinehurst Drive SW
Suite #103
Tumwater, WA 98501-4500

Phone

(360) 352-8112

Fax

(360) 352-8113

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Chiropractic

  • Chiropractor
  • Tumwater, WA
  • NPI 1841354420
  NPD (past)
• Ronald Wilcox, DC Inc.

  dba Family Chiropractic

  • Chiropractor
  • Tumwater, WA
  • NPI 1083952915
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639228687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PINEHURST DR SW",
            "address_2": "SUITE #103",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014500",
            "telephone_number": "360-352-8112",
            "fax_number": "360-352-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PINEHURST DRIVE SW",
            "address_2": "SUITE #103",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014500",
            "telephone_number": "360-352-8112",
            "fax_number": "360-352-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SARA",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00018630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George David Kauanoe, MA
• Thomas I Kaufman, MD
• Kayij-Wint Counseling & Consulting
• Timothy P Kelly
• Kathryn Kemp
• John David Kenney, MD DDS
• David Allen Kessel
• Mukti Khanna
• Heidi Melissa Kifowit, LMP
• Jin Kim, PHARMD

• Specialist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.