Physician Compare National (NPI:1477677136)

HEALTHCARE PROVIDER: TIMOTHY E. KRESS D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1477677136
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052465465
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090819000912
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KRESS
	Individual professional last name
Provider First Name	TIMOTHY
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	516 MORRIS ST
	Group Practice or individual's line 1 address
City	LA CONNER
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	982574769
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3604664050
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y