Kennewick Pain Clinic INC Ps
Nurse Practitioner, Family in Ritzville, WA. Organization (NPI-2).
NPI number1073409488
StatusActive
Last updated in NPPESJun 18, 2026
Details
- NPI
- 1073409488
- Entity type
- Organization (NPI-2)
- Legal business name
- Kennewick Pain Clinic INC Ps
- Organization subpart
- No
- Enumeration date
- Jun 13, 2025
- Certification date
- Jun 18, 2026
- Last updated
- Jun 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
710 W Main AveRitzville, WA 99169-1833
Phone 941-224-1025 · Fax 509-509-1370
Mailing address
710 W Main AveRitzville, WA 99169-1833
Phone 941-224-1025
Authorized official
Patricia Cruz
Dnp
9412241025
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