Piatt, Kendal Rae
Piatt, Kendal Rae is an sole proprietor health care provider with primary practice located at 7401 W Grandridge Blvd Ste 202 , Kennewick WA 99336-7831. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Piatt, Kendal Rae can be contacted via phone (509) 736-0710.Contact Information
Primary practice address
7401 W Grandridge Blvd Ste 202
Kennewick WA 99336-7831
Phone: (509) 736-0710
Fax: (509) 736-0751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3907TX | Washington |
Profile Details
| NPI number | 1922095868 |
|---|---|
| LBN Legal business name | Piatt, Kendal Rae |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Apr 12th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922095868 | NPPES |
| Washington | Other | 50524 | DAVIS |
| Washington | MEDICAID | 2029742 | DAVIS |
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