Individual
RONALD WAYNE KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 474-7017
Mailing address
PO BOX 1366, DEER PARK, WA 99006-1366
(509) 498-0920
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN00164215
WA
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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