IndividualActive
Charles Kenyon, DO
NPI 1831629914 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Seattle, WA
Provider details
- NPI number
- 1831629914
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- MD60854163 (WA)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense MD60854163 (WA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1959 Ne Pacific St
Seattle, WA 98195-0001
Phone: (206) 520-5000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 50095
Seattle, WA 98145-5095
Registry dates
- Enumerated
- 2017-06-12
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.