Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KACEY HELENA PROVENZANO, M.D.
ActiveKACEY HELENA PROVENZANO, M.D. is a Urology healthcare provider located in RICHLAND, Washington. NPI 1740523158 is currently active in the NPPES registry. Verify at CMS.
Urology · RICHLAND, WA
Registration Details
- NPI Number
- 1740523158
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2013 (13.381734824687 yrs)
- Last Updated
- Jun 23, 2021
- Licenses
-
264720 (MA)MD60964556 (WA)
Practice Information
- Address
-
780 SWIFT BLVD STE 201RICHLAND, WA, 99352Browse WA providers · Browse ZIP 99352
- Phone
- 5099423288
- Fax
- 5099423167
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
Other Urology Providers in RICHLAND, WA
| Name | Credential | NPI |
|---|---|---|
| FRED M FOSS | M.D. | 1437143179 |
| NAEEM T CHAVLA | M.D. | 1528090032 |
| DAVID D VANCE | M.D. | 1326261637 |
| DR. PATRICK W GAVIN | D.O. | 1861620627 |
| JULIO SLONGO | M.D. | 1952797763 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.