Kacey Helena Provenzano, M.D.

NPI #1740523158 in Richland, Washington

Provider Information

NPI Number: 1740523158
Entity Type: Individual
Name: Kacey Helena Provenzano, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Apr 3, 2013
Last Updated: Jun 23, 2021

Practice Location

Address: 780 SWIFT BLVD STE 201
City: Richland
State: Washington
ZIP Code: 99352
Phone: (509) 942-3288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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