Organization
YAKIMA MEDICAL CLINIC INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
T KENT VYE DO (PRESIDENT)
(509) 452-2508
Entity
Organization
Contact information
Practice address
310 HOLTON AVE, YAKIMA, WA 98902
(509) 452-2508
(509) 452-7316
Mailing address
310 HOLTON AVE, YAKIMA, WA 98902
(509) 452-2508
(509) 452-7316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0P00001175
WA
305R00000X
Preferred Provider Organization
Primary
0P00001175
WA
Other
Enumeration date
03/12/2007
Last updated
10/15/2008
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