MS. KRISTAL KAY KENNEDY LPN
NPI 1184070872
Licensed Practical Nurse in Tacoma, WA

Active since May 11, 2016
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431(253) 968-1110(877) 874-1031 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kristal Kay Kennedy Lpn NPPES

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

MS. KRISTAL KAY KENNEDY LPN (NPI 1184070872) is an individual licensed practical nurse in Tacoma, Washington, licensed in Washington (LP00032584) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1184070872
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. KRISTAL KAY KENNEDYCredential: LPN
Location Address9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTERTacoma, WA 98431-1000
Mailing Address9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical CenterTacoma, WA 98431-1000 · (253) 968-1110 · Fax (877) 874-1031
Fax(877) 874-1031
Sole ProprietorNo
Enumeration DateMay 11, 2016
NPI 1184070872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in WA · LP00032584
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
9040 REID STREET, ATTN: MCHJ-CLQ-C, Tacoma, WA 98431

Other Names 1

Former Name (1)Ms. Kristal Kay Gorbam Lpn

Other Providers at the Same Location NPPES 20

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

Licensed Practical Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Registered Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Registered Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Registered Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Licensed Practical Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Registered Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Registered Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Licensed Vocational Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431

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 Kristal Kennedy's NPI number?

The NPI number for Kristal Kennedy is 1184070872. It was assigned to this individual provider in the NPPES registry on May 11, 2016. The provider is also known as Ms. Kristal Kay Gorbam Lpn.

Where is Kristal Kennedy located?

Kristal Kennedy practices at 9040 Reid Street, Attn: Mchj-Clq-C Madigan Army Medical Center, Tacoma, WA 98431. The listed phone number is (253) 968-1110.

What is Kristal Kennedy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kristal Kennedy was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.