Organization
CASCADE EYE M.D.S, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J KENNY M.D. (MEMBER)
(425) 316-0338
Entity
Organization
Contact information
Practice address
1025 153RD ST SE, SUITE 100, MILL CREEK, WA 98012-4051
(425) 316-0338
(425) 316-1993
Mailing address
1025 153RD ST SE, SUITE 100, MILL CREEK, WA 98012-4051
(425) 316-0338
(425) 316-1993
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197246
L&I
WA
05
—
7130594
—
WA
Enumeration date
02/02/2007
Last updated
11/29/2007
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