MEDICARE: MR. DANIEL KINYANJUI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	CEU0724	WA

General Provider Information

NPI Number	:	1922706399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL KINYANJUI

Provider Business Mailing Address
First Line	:	7710 97TH AVE SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98498-3222
Country	:	US
Telephone Number	:	206-376-4692
Fax Number	:

Provider Business Practice Location Address
First Line	:	7710 97TH AVE SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98498-3222
Country	:	US
Telephone Number	:	206-376-4692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	02/15/2023

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