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Contact Information

KIRANMAYI KORIMERLA, MD
336 CHARDINNAY AVE #A
KADLEC CLINIC PROSSER PRIMARY CARE
PROSSER, WA99350
 Phone: 509-786-2002
 Fax: 509-786-2026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KIRANMAYI KORIMERLA · (Female)

NPI Number 1174939805
Status Active
Credentials MD
Entity Individual
Enumeration date 07/02/2014
Last updated 06/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD 60470357
  • WA License # MD60470357
Hospital affiliation(s)
  • KADLEC REGIONAL MEDICAL CENTER - (Acute Care)
    888 SWIFT BLVD
    RICHLAND, WA 99352
  • PROSSER MEMORIAL HOSPITAL - (Critical Access)
    723 MEMORIAL STREET
    PROSSER, WA 99350
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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