Unknown Individual – Specialist, NPI 1669586756
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
West Hood Place, Vista Industrial Area, Kennewick, Benton County, Washington, 99336-1117, United States
STE. 102
KENNEWICK, WA 993366714
Phone: (509) 374-4719
Fax: (509) 374-3873
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99336)
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