Kyle Daniel Kenoyer (NPI# 1679926398, PAC ID# 9739413360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1679926398 |
| PAC ID by PECOS | 9739413360 |
| Professional Enrollment ID | I20190701002110 |
| Full Name | Kyle Daniel Kenoyer |
| Organization Legal Name | PACIFIC PODIATRY GROUP, PS |
| Address |
7808 Pacific Ave Suite 1 Tacoma WA 98408-7039 |
| Phone Number | 2534735566 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2769370832 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7808 Pacific Ave, Suite 1, Tacoma, WA 98408-7039 | 2534735566 | PACIFIC PODIATRY GROUP, PS |
| Organization Legal Name | PACIFIC PODIATRY GROUP, PS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn L Ward | Podiatry | Pacific Podiatry Group, Ps | 11025 Canyon Rd E D, Puyallup, WA 98373-4268 |
| Nicholas S Heath | Podiatry | Pacific Podiatry Group, Ps | 7808 Pacific Ave, Suite 1, Tacoma, WA 98408-7039 |
| Rebecca E Brickman | Podiatry | Pacific Podiatry Group, Ps | 7808 Pacific Ave, Suite 1, Tacoma, WA 98408-7039 |
| Gene C Knutson | Podiatry | Pacific Podiatry Group, Ps | 7808 Pacific Ave, Suite 1, Tacoma, WA 98408-7039 |
| Street Address |
7808 PACIFIC AVE SUITE 1 |
| City | TACOMA |
| State | WA |
| Zip | 98408-7039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas S Heath | Podiatry | Pacific Podiatry Group, Ps | 7808 Pacific Ave, Suite 1, Tacoma, WA 98408-7039 |
| Rostom Dano Rivera | Family Medicine | 7808 Pacific Ave, Suite 4, Tacoma, WA 98408-7039 | |
| Rebecca E Brickman | Podiatry | Pacific Podiatry Group, Ps | 7808 Pacific Ave, Suite 1, Tacoma, WA 98408-7039 |
| Gene C Knutson | Podiatry | Pacific Podiatry Group, Ps | 7808 Pacific Ave, Suite 1, Tacoma, WA 98408-7039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Kaftan | Undefined Non-physician Type (specify) | Multicare Health System | 1901 S 72nd St, A 1, Tacoma, WA 98408-1200 |
| Angela Ko | Occupational Therapy | Multicare Health System | 1901 S 72nd St, A 1, Tacoma, WA 98408-1200 |
| Brent Proctor | Physical Therapy | Olympic Sports and Spine Rehabilitation Ps | 1901 S 72nd St, Suite A 1, Tacoma, WA 98408-1200 |
| Joel D Vranna | Chiropractic | 1702 S 72nd St, Suite A, Tacoma, WA 98408-1238 | |
| Richard M Raymond | Chiropractic | Accident and Injury Chiropractic Center Inc | 1702 S 72nd A, Tacoma, WA 98408-1238 |
| Robert Chant | Chiropractic | Accident and Injury Chiropractic Center Inc | 1702 S 72nd A, Tacoma, WA 98408-1238 |
| Jeffrey Bernal Kahrs | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Kevin M Lyter | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Dean F Simmons | Chiropractic | Simmons Chiropractic Clinic | 1720 S 72nd St, Suite 102, Tacoma, WA 98408-1297 |
| Richard D Leone | Chiropractic | 1720 S 72nd St, Suite 201, Tacoma, WA 98408-1299 | |
| Find all physicians in zip 98408 | |||
| City | TACOMA |
| Zip Code | 98408 |
| Specialty | PODIATRY |
| City + Specialty | TACOMA + PODIATRY |
Please comment or provide details below to improve the information on Kyle Daniel Kenoyer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.