Individual provider · Type 1 NPI

Brad Lee Kennedy, LMP

Contractor · Vancouver, WA

NPI number 1356628630 Active

Practice location

2402 Broadway St
Vancouver, WA 98663-3229

Call (360) 241-6630 Map

Mailing address

13502 SE Harold St
Portland, OR 97236-4149

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XMA60188011 (WA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1356628630

Brad Lee Kennedy, LMP's National Provider Identifier is 1356628630, issued on Nov 15, 2011. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Vancouver, WA. The record was last updated on Nov 15, 2011.