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

Kenneth Hans Hermansen, RDN, CDCES

Individual provider Registered Dietitian · NPI 1558068791

Kenneth Hans Hermansen, RDN, CDCES is a Registered Dietitian OR Nutrition Professional in Longview, Washington. Qualified in 2019, 7 years ago. Practices with Cowlitz Indian Tribe, a 25-clinician group and accepts Medicare assignment. Licensed in Kentucky, Utah and Washington.

Years since qualifying
7
Licensed in
KY, UT, WA
In the registry since
2023
Specialties on file
3
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

1044 11th Ave
Longview, WA 98632-2506
Phone: (360) 575-8275
Fax: (360) 353-9440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI61408612 (WA)
Registered Dietitian Taxonomy 133V00000X · Licence 275943 (KY)
Registered Dietitian Taxonomy 133V00000X · Licence 11870717-4901 (UT)

Record details

NPI number1558068791
Entity typeIndividual (Type 1)
GenderMale
Credentials RDN , CDCES
Sole proprietorNo
NPI enumeratedFebruary 8, 2023
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cowlitz Indian Tribe — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Longview