Provider First Line Business Practice Location Address:
8108 W GRANDRIDGE BLVD
Provider Second Line Business Practice Location Address:
KADLEC CLINIC CENTER FOR PEDIATRICS
Provider Business Practice Location Address City Name:
KENNEWICK
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-942-3265
Provider Business Practice Location Address Fax Number:
509-735-5382
Provider Enumeration Date:
04/05/2007