Provider Demographics
NPI:1720313208
Name:GREER, KENDA MARIE (RN)
Entity type:Individual
Prefix:MRS
First Name:KENDA
Middle Name:MARIE
Last Name:GREER
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17700 SE 272ND ST STE 202
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-4951
Mailing Address - Country:US
Mailing Address - Phone:253-372-7410
Mailing Address - Fax:
Practice Address - Street 1:1305 S 312TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-9028
Practice Address - Country:US
Practice Address - Phone:243-946-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2025-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60042708225700000X
WARN61519699163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist