Kacey Provenzano, M.D.

Individual Active
NPI 1740523158
Urology Physician Richland, WA

NPI 1740523158 belongs to Kacey Provenzano, M.D., an urology physician with a practice location in Richland, WA. The NPI was issued on April 3, 2013, and the record was last updated in NPPES on June 23, 2021. The record lists 2 taxonomy codes. One additional practice location is listed.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X MD60964556 (WA)
Urology Physician 208800000X 264720 (MA)

Practice locations

780 Swift Blvd Ste 201
Richland, WA 99352
Phone: (509) 942-3288
41 Burlington Mall Rd Mailstop 201Fl3
Burlington, MA 01805-1473
Phone: (781) 901-0836

Local context

Active NPPES records list 11 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 404 in Washington and 19,306 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kacey Helena Provenzano
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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