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Individual

DR. KENNETH IRWIN LIPOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 GOETHALS DR STE B, RICHLAND, WA 99352-3301
(509) 942-3067
(509) 942-3085
Mailing address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
026386
CT
207T00000X
Neurological Surgery Physician
Primary
MD61575451
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001263862
CT
01
C01733
MEDICAL GROUP #
Enumeration date
07/12/2006
Last updated
02/06/2025
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