Healthcare Provider Details

I. General information

NPI: 1619934999
Provider Name (Legal Business Name): THE KENNEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7125 FAUNTLEROY WAY SW
SEATTLE WA
98136-2008
US

IV. Provider business mailing address

7125 FAUNTLEROY WAY SW
SEATTLE WA
98136-2008
US

V. Phone/Fax

Practice location:
  • Phone: 206-937-2800
  • Fax: 206-938-6940
Mailing address:
  • Phone: 206-937-2800
  • Fax: 209-938-6940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number241
License Number StateWA

VIII. Authorized Official

Name: MR. LARRY FOSS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 206-933-2783