Individual
MR. KAIRUL S LEHARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1100 GOETHALS DR. STE B, RICHLAND, WA 99352
(509) 942-3080
(509) 942-3085
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60674552
WA
363LF0000X
Family Nurse Practitioner
0024172847
VA
363LF0000X
Family Nurse Practitioner
AP60674552
WA
Other
Enumeration date
08/26/2015
Last updated
11/04/2024
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