KENNEWICK RADIOLOGY GROUP PC; NPI #1437328085

Contact Information

KENNEWICK RADIOLOGY GROUP PC

174 FIRST AVENUE NORTH
ILWACO, WA 98624

Phone: 360-642-6304
Fax: 360-642-6309
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for KENNEWICK RADIOLOGY GROUP PC

NPI Number 1437328085

LBN Legal business name KENNEWICK RADIOLOGY GROUP PC

Authorized official RICHARD RHEE - (PROVIDER/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/28/2008

Last updated 05/01/2008 - About 18 years ago

Identifiers

OR	Medicaid	006814
WA	Medicaid	7138209

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KENNEWICK RADIOLOGY GROUP PC

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for KENNEWICK RADIOLOGY GROUP PC

Reviews for KENNEWICK RADIOLOGY GROUP PC