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

Timothy Jordan Kotnour

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043736242

Timothy Jordan Kotnour is a Student in an Organized Health Care Education/Training Program in Tacoma, Washington. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-1000
Phone: (253) 968-1936
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043736242
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2017
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021

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