Provider Demographics
NPI:1194837856
Name:KENT SCHOOL DISTRICT
Entity type:Organization
Organization Name:KENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:TORNOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-373-7610
Mailing Address - Street 1:12033 SE 256TH ST
Mailing Address - Street 2:SUITE A-400
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-6503
Mailing Address - Country:US
Mailing Address - Phone:253-373-7027
Mailing Address - Fax:253-373-7422
Practice Address - Street 1:12033 SE 256TH ST
Practice Address - Street 2:SUITE A-400
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-6503
Practice Address - Country:US
Practice Address - Phone:253-373-7027
Practice Address - Fax:253-373-7422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7441561Medicaid