Individual
DR. ELI KACZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Enumeration date
08/09/2006
Last updated
07/08/2007
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