KENNETH D INGRAM

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Dr KENNETH D INGRAM is a male medical professional, specializing in Physician Assistant. He graduated in 1999.

Contact

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

10100 SE SUNNYSIDE RD
CLACKAMAS
OR
970158970

Tel: 5037868435

KENNETH D INGRAM Information

Npi 1083620686
Pac Id 8820156300
Professional Enrollment Id I20081028000421
Last Name INGRAM
First Name KENNETH
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1999
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Group Practice Pac Id 5799688230
Number Of Group Practice Members 1287
Line 1 Street Address 10100 SE SUNNYSIDE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CLACKAMAS
State OR
Zip Code 970158970
Phone Number 5037868435
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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