Individual
KURT W KENOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
Mailing address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004740
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009425
—
WA
01
—
1599KE
REGENCE BLUESHIELD INS
WA
01
—
2159KE
REGENCE BLUESHIELD INS
WA
05
—
8415440
—
WA
01
—
9749KE
REGENCE BLUESHIELD INS
WA
01
—
9974KE
REGENCE BLUESHIELD INS
WA
Enumeration date
06/18/2006
Last updated
03/07/2023
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