Individual
MISS KENDAL RAE PIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7401 W GRANDRIDGE BLVD STE 202, KENNEWICK, WA 99336-7831
(509) 736-0710
(509) 736-0751
Mailing address
7401 W GRANDRIDGE BLVD STE 202, KENNEWICK, WA 99336-7831
(509) 736-0710
(509) 736-0751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3907TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029742
—
WA
01
—
50524
DAVIS
WA
Enumeration date
10/05/2005
Last updated
04/12/2013
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