Individual provider · Type 1 NPI

Kacey Helena Provenzano, MD

Urology Physician · Richland, WA

NPI number 1740523158 Active

Practice location

780 Swift Blvd Ste 201
Richland, WA 99352

Fax (509) 942-3167

Mailing address

550 Gage Blvd Ste 101
Richland, WA 99352-9532

Other practice locations

  • 41 Burlington Mall Rd Mailstop 201FL3, Burlington, MA 01805-1473 · (781) 901-0836

Specialties and licenses

TaxonomyCodeLicense
Urology Physician 208800000X264720 (MA)
Urology Physician Primary 208800000XMD60964556 (WA)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1740523158

Kacey Helena Provenzano, MD's National Provider Identifier is 1740523158, issued on Apr 3, 2013. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Richland, WA. The record was last updated on Jun 23, 2021.