Provider Demographics
NPI:1881668242
Name:ALBRECHTSON, KENNETH S (DC)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:S
Last Name:ALBRECHTSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 NE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-1665
Mailing Address - Country:US
Mailing Address - Phone:360-834-3434
Mailing Address - Fax:360-834-2637
Practice Address - Street 1:732 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-1665
Practice Address - Country:US
Practice Address - Phone:360-834-3434
Practice Address - Fax:360-834-2637
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001582111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor