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Kacey Helena Provenzano, MD
Urology Physician in Richland, Washington
NPI 1740523158

Kacey Helena Provenzano is a Urology Physician based in Richland, WA. Kacey Helena Provenzano practices in Richland, WA and has the professional credentials of MD. The NPI Number for Kacey Helena Provenzano is 1740523158 and holds a License No. 264720 (Washington).

The current practice location address for Kacey Helena Provenzano is 780 Swift Blvd Ste 201, Richland, WA and can be reached out via phone at 509-942-3288 and via fax at 509-942-3167.

Location: 780 Swift Blvd Ste 201, Richland, WA, 99352-9532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740523158
Provider Name
Kacey Helena Provenzano
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
780 Swift Blvd Ste 201, Richland, WA, 99352-9532
Phone Number
509-942-3288
Fax Number
509-942-3167
Provider Enumeration Date
04/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
780 Swift Blvd Ste 201
City
Richland
State
Washington
Zip
99352
Phone Number
509-942-3288
Fax Number
509-942-3167
person
Provider Business Mailing Address Details
Address
780 Swift Blvd Ste 201
City
Richland
State
Washington
Zip
99352
Phone Number
509-942-3288
Fax Number
509-942-3167
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
264720 (Massachusetts)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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