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Contact Information

KENNETH J EGLI, MD
8508 W GAGE BLVD STE A101
KENNEWICK, WA99336-8106
 Phone: 877-522-1275
 Fax: 833-888-7145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KENNETH J EGLI · (Male)

NPI Number 1205922879
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 11/18/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00041379
  • WA Medicaid 8358749
  • WA Other 0227845 LIWA
  • WA Other 911348529 OTHER INS #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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