National Provider Identifier Database

KENNEWICK RADIOLOGY GROUP PC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

KENNEWICK RADIOLOGY GROUP PC
174 FIRST AVENUE NORTH
ILWACO, WA98624
Phone: 360-642-6304
Fax: 360-642-6309
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for KENNEWICK RADIOLOGY GROUP PC

NPI Number 1437328085
Legal business name
LBN
KENNEWICK RADIOLOGY GROUP PC
Authorized official RICHARD RHEE - (PROVIDER/OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/28/2008
Last updated 05/01/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 006814
  • WA Medicaid: 7138209

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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