Individual
KIRANMAYI KORIMERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
336 CHARDINNAY AVE #A, KADLEC CLINIC PROSSER PRIMARY CARE, PROSSER, WA 99350
(509) 786-2002
(509) 786-2026
Mailing address
888 SWIFT BLVD, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60470357
WA
207QA0505X
Adult Medicine Physician
MD 60470357
WA
Other
Enumeration date
07/02/2014
Last updated
06/16/2021
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