Organization
ELI KACZYNSKI MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELI NMI KACZYNSKI MD (CORPORATE PRESIDENT)
(509) 783-3161
Entity
Organization
Contact information
Practice address
2529 W FALLS AVE, KENNEWICK, WA 99336-3041
(509) 783-3161
(509) 783-3163
Mailing address
2529 W FALLS AVE, KENNEWICK, WA 99336-3041
(509) 783-3161
(509) 783-3163
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00016765
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017179
ST. IND
WA
05
—
1364306
—
WA
01
—
756181836
MEDICARE RAILROAD
WA
Enumeration date
09/27/2010
Last updated
08/10/2015
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