Provider Demographics
NPI:1043645203
Name:SCHEINKER, KEN LEE (R (RT) (CT) ARRT)
Entity Type:Individual
Prefix:MR
First Name:KEN
Middle Name:LEE
Last Name:SCHEINKER
Suffix:
Gender:M
Credentials:R (RT) (CT) ARRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 CAMPUS COMMONS DR
Mailing Address - Street 2:SUITE 403
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-1519
Mailing Address - Country:US
Mailing Address - Phone:703-390-5560
Mailing Address - Fax:
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:800-329-8387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WART00007578247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist