Provider Demographics
NPI:1538835384
Name:KINYANJUI, ROBERT M (RND, RN)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:KINYANJUI
Suffix:
Gender:M
Credentials:RND, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 20TH AVENUE CT SE
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-5114
Mailing Address - Country:US
Mailing Address - Phone:253-886-9794
Mailing Address - Fax:
Practice Address - Street 1:3013 20TH AVENUE CT SE
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-5114
Practice Address - Country:US
Practice Address - Phone:253-886-9794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60387796163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse