Organization
TRI-CITIES NEPHROLOGY, LLC
Active
Parent organization
KADLEC HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
KADLEC HEALTH SYSTEM
Authorized official
RAND WORTMAN (PRESIDENT/CEO)
(509) 946-4611
Entity
Organization
Contact information
Practice address
833 SWIFT BLVD, RICHLAND, WA 99352-3513
(509) 942-3627
(509) 943-5922
Mailing address
945 GOETHALS DR, SUITE 200, RICHLAND, WA 99352-3552
(509) 942-3627
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00043231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0258389
LABOR & INDUSTRIES
WA
05
—
1205165602
—
WA
Enumeration date
12/14/2009
Last updated
04/23/2012
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