1023612975 NPI number — KENTRELL DEANDRE WASHINGTON APSW

Table of content: KENTRELL DEANDRE WASHINGTON APSW (NPI 1023612975)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023612975 NPI number — KENTRELL DEANDRE WASHINGTON APSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WASHINGTON
Provider First Name:
KENTRELL
Provider Middle Name:
DEANDRE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023612975
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1732 N PROSPECT AVE APT 207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILWAUKEE
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53202-1945
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
920-728-2361
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2222 N MAYFAIR RD STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAUWATOSA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53226-2262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-939-9390
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/22/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  132159121 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com