NPI | 1104822931 |
---|---|
Doing Business As | PPGWNI KENNEWICK HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | KIM A. NELSON VP Of Finance 866-904-7721 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 397 020 705) |
Additional Taxonomies | 363L00000X Nurse Practitioner |
207VG0400X Obstetrics & Gynecology, Gynecology | |
261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2005-06-27 |
Last Update Date | 2017-05-11 |