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Organization

KENNEWICK RADIOLOGY GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD J RHEE (PROVIDER/OWNER)
(800) 941-4365
Entity
Organization

Contact information

Practice address
174 FIRST AVENUE NORTH, ILWACO, WA 98624
(360) 642-6304
(360) 642-6309
Mailing address
PO BOX 1441, AMARILLO, TX 79105-1441
(509) 586-5779
(509) 586-5178

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006814
OR
05
7138209
WA
Enumeration date
02/28/2008
Last updated
05/01/2008
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