MR. KENNETH JAMES VINING PA-C
NPI 1023009008
Physician Assistant - Medical in Bremerton, WA

Active since October 31, 2005PECOS Enrolled
NAVAL HOSPITAL BREMERTON, 1 BOONE ROAD, BREMERTON, WA 98312(360) 315-4346(360) 396-4247 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth James Vining Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH JAMES VINING PA-C (NPI 1023009008) is an individual medical provider in Bremerton, Washington, licensed in Washington (PA10003680) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023009008
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KENNETH JAMES VININGCredential: PA-C
Location AddressNAVAL HOSPITAL BREMERTON, 1 BOONE ROADBremerton, WA 98312-1898
Mailing AddressNaval Hospital Bremerton, 1 Boone RoadBremerton, WA 98312-1898 · (360) 315-4346 · Fax (360) 396-4247
Fax(360) 396-4247
Sole ProprietorNo
Enumeration DateOctober 31, 2005
Last NPPES UpdateNovember 24, 2009
NPI 1023009008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA10003680
NAVAL HOSPITAL BREMERTON, Bremerton, WA 98312

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Kenneth James Vining Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
NAVAL HOSPITAL BREMERTON, 1 BOONE ROAD
BREMERTON, WA 98312
Anesthesiology
NAVAL HOSPITAL BREMERTON, ONE BOONE ROAD
BREMERTON, WA 98312
Registered Nurse
NAVAL HOSPITAL BREMERTON, 1 BOONE ROAD
BREMERTON, WA 98312
Internal Medicine
NAVAL HOSPITAL BREMERTON, 1 BOONE ROAD
BREMERTON, WA 98312
Dentist (Prosthodontics)
NAVAL HOSPITAL BREMERTON, ONE BONNE ROAD
BREMERTON, WA 98312
Nurse Anesthetist, Certified Registered
NAVAL HOSPITAL BREMERTON, 1 BOONE ROAD
BREMERTON, WA 98312
Internal Medicine
NAVAL HOSPITAL BREMERTON, 1 BOONE RD
BREMERTON, WA 98312
Dermatology
NAVAL HOSPITAL BREMERTON, ONE BOONE RD
BREMERTON, WA 98312

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Vining's NPI number?

The NPI number for Kenneth Vining is 1023009008. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Kenneth Vining located?

Kenneth Vining practices at Naval Hospital Bremerton 1 Boone Road, Bremerton, WA 98312. The listed phone number is (360) 315-4346.

What is Kenneth Vining's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kenneth Vining enrolled in Medicare?

Yes. Kenneth Vining is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Vining was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.