Provenzano, Kacey Helena
Provenzano, Kacey Helena is an individual health care provider with primary practice located at 780 Swift Blvd Ste 201 , Richland WA 99352. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Provenzano, Kacey Helena can be contacted via phone (509) 942-3288.Contact Information
Primary practice address
780 Swift Blvd Ste 201
Richland WA 99352
Phone: (509) 942-3288
Fax: (509) 942-3167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 264720 | Massachusetts |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD60964556 | Washington |
Profile Details
| NPI number | 1740523158 |
|---|---|
| LBN Legal business name | Provenzano, Kacey Helena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2013 |
| Last updated | Jun 23rd, 2021 - about 3 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.
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