Pediatrics For You, PLLC
Pediatrics in Kennewick, WA. Organization (NPI-2).
NPI number1427240449
StatusActive
Last updated in NPPESOct 15, 2020
Details
- NPI
- 1427240449
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatrics For You, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 14, 2007
- Certification date
- Oct 15, 2020
- Last updated
- Oct 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 602709835 | WA | Yes |
Practice location
6802 W Rio Grande Ave Ste 1Kennewick, WA 99336-7684
Phone 509-572-2201 · Fax 509-783-8844
Mailing address
6802 W Rio Grande Ave Ste 1Kennewick, WA 99336-7684
Phone 509-572-2201 · Fax 509-783-8844
Authorized official
Shelley Matta
Clinic Manager
5095722201
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