Provider Demographics
NPI:1104939974
Name:HOWAT, KEN (MS ATC)
Entity type:Individual
Prefix:MR
First Name:KEN
Middle Name:
Last Name:HOWAT
Suffix:
Gender:M
Credentials:MS ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 PATCH CT
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-5035
Mailing Address - Country:US
Mailing Address - Phone:831-884-9358
Mailing Address - Fax:
Practice Address - Street 1:100 CAMPUS CTR
Practice Address - Street 2:ATHLETIC TRAINING ROOM, BLDG 90
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-8000
Practice Address - Country:US
Practice Address - Phone:831-582-3010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer