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Contact Information

KENNETH E BREEDEN, DO
965 GOETHALS DR
RICHLAND, WA99352-3527
 Phone: 509-460-5588
 Fax: 509-783-5438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Acupuncturist

171100000X
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

1223G0001X
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for KENNETH E BREEDEN · (Male)

NPI # 1417900309
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/19/2006
Last updated 07/16/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WA License # DE00010299
  • WA License # OP00001987
  • WA Medicaid 1009897
  • WA Medicaid 8434599
  • WA Other P01344361 RR MEDICARE
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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