Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Michael Kingdon, MD

Individual provider Emergency Medicine Physician · NPI 1114067196

Dr. Kenneth Michael Kingdon, MD is an Emergency Medicine in Brewster, Washington. Graduated from Baylor College of Medicine in 2003, 23 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group and accepts Medicare assignment. Licensed in Texas and Washington.

Years since qualifying
23
Trained at
Baylor College of Medicine
Licensed in
TX, WA
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 577
Brewster, WA 98812-0577
Phone: (509) 689-2517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD61498906 (WA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence P4471 (TX)
Surgery Physician Taxonomy 208600000X · Licence P4471 (TX)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence P4471 (TX)

Record details

NPI number1114067196
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing addressPo Box 577, Brewster, WA 98812-0577

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brewster