Most Relevant Information
Provider Data
| NPI Number: | 1003002569 |
| Provider Name: | KENNETH E CLIFTON MS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LH 60143083 |
Most Important Dates
| Enumeration Date: | 09/19/2007 |
| Last Updated: | 05/13/2020 |
Provider Practice Location
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA
WA
984311100
Practice Location Phone/Fax
| Phone: | 2539684631 |
| Fax: |
Provider Mailing Location
9040-A REID ST
JBLM
WA
98431
Provider Mailing Phone/Fax
| Phone: | 2539686442 |
| Fax: |