Search › Washington › 208800000X
Kacey Provenzano, M.D
NPI 1740523158 · on the registry since 2013
Practice
- Address
- 780 Swift Blvd Ste 201
Richland, WA 99352 - Phone
- (509) 942-3288
- Fax
- (509) 942-3167
- Organisation at this address
- Craig L Howell Md Llc
Douglas K Murdock Dpm Pc
Wolfert Enterprises, P.S.
American Medical Diagnostics
Neurosurgical Center Inc., P.S.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Additional practice sites
- 41 Burlington Mall Rd Mailstop 201fl3, Burlington, MA
Registry record
- Primary taxonomy
- 208800000X
208800000X
- Also registered as
- 208800000X
- Licence states on file
- MA, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington