MR. KEVIN DONALD CONWAY (NPI# 1497897227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497897227 |
| Entity Type | Individual |
| Full Name | MR. KEVIN DONALD CONWAY |
| Credential | LMP |
| Practice Address |
2700 Simpson Ave Suite 102 Aberdeen WA 98520-4335 |
| Mailing Address |
Po Box 286 Montesano WA 98563-0286 |
| Practice Telephone | 3605812030 |
| Practice Fax Number | 3605378756 |
| Mailing Telephone | 3605812030 |
| Mailing Fax Number | 3605378756 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00017460 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE PROVIDER NUMBER | CO6182 | 01 |
| WA | STATE OF WA ID NUMBER | 0165584 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497787345 | Kevin M Conway | Physical Therapist | 521-525 College Ave., 111, Santa Rosa, CA 95404-4131 | 2006-07-07 |
| 1801410238 | Kevin Conway | Nurse Practitioner | 301 University Blvd, Galveston, TX 77555-5302 | 2020-06-01 |
| Street Address |
2700 SIMPSON AVE SUITE 102 |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336251040 | Robert G Hale | Chiropractor | 2700 Simpson Ave, Suite 102, Aberdeen, WA 98520-4333 | 2006-08-31 |
| 1518583921 | Lyric Rain Smith | Counselor | 2700 Simpson Ave, Aberdeen, WA 98520-4335 | 2020-06-22 |
| 1912523309 | Benito Nyabuti | Counselor | 2700 Simpson Ave, Aberdeen, WA 98520-4335 | 2020-06-22 |
| 1992216998 | Joseph Dennard Glen Kenoyer | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-10-17 |
| 1508302753 | Nichelle Christine Alarid | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-01-12 |
| 1336518240 | Kris Luchmun | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2015-09-21 |
| 1144458423 | Adrienne Leslie West | Physical Therapist | 2700 Simpson Ave, Suite 201, Aberdeen, WA 98520 | 2009-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629384441 | Terry David Johnson | Specialist | 954 Anderson Dr Ste 101b, Aberdeen, WA 98520-1001 | 2010-08-31 |
| 1417262874 | Linsey Lee Bale | Specialist | 501 N Broadway St, Aberdeen, WA 98520-3924 | 2010-08-10 |
| 1619017738 | David Eric Konn | Specialist | 1606 Simpson Ave, Aberdeen, WA 98520-4608 | 2007-02-07 |
| 1225199219 | Young Cheol Shin | Specialist | 525 Beards Hill Rd, Aberdeen, MD 21001-1831 | 2006-12-13 |
| 1154408482 | Jarrid Dean Horn | Specialist | 1812 Sumner Ave Ste D, Aberdeen, WA 98520-4602 | 2006-11-01 |
| 1992899322 | William M Goumas Md PC | Specialist | 103 15th Ave Ne, Aberdeen, SD 57401 | 2006-10-02 |
| 1316935638 | George Craig Kiser | Specialist | 310 S Penn St Ste 202, Aberdeen, SD 57401-4553 | 2005-10-11 |
| 1932192754 | Nathaniel Marfal Sumilang | Specialist | 115 W Bel Air Ave, Aberdeen, MD 21001-3221 | 2005-08-26 |
| 1588086151 | Amanda Gregorio | Specialist | 5 Overlea Ln, Aberdeen, NJ 07747-2108 | 2014-01-15 |
| 1932335437 | Krista Ramstad | Specialist | 1006 N H St, Aberdeen, WA 98520-2521 | 2009-06-10 |
| Find all providers in ABERDEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.