Individual
KIRAN KUMAR VALLAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 N DELAWARE ST, KENNEWICK, WA 99336-7750
(509) 736-5550
(509) 737-8281
Mailing address
317 N DELAWARE ST, KENNEWICK, WA 99336-7750
(509) 736-5550
(509) 737-8281
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
FE00045283
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FE00045283
MEDICAL LICENSE
WA
Enumeration date
07/22/2005
Last updated
07/08/2007
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