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Individual

RICHARD J KENNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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
MD00042763
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0197248
L & I
WA
05
8440638
WA
Enumeration date
02/02/2007
Last updated
11/29/2007
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