Kacey Helena Provenzano, MD
Kacey Helena Provenzano, MD is an Urology in Richland, Washington. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2013, 13 years ago. Works from 2 locations. Licensed in Massachusetts and Washington.
- Years since qualifying
- 13
- Trained at
- University of Kansas School of Med (KC/WICH/SAL)
- Licensed in
- MA, WA
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
780 Swift Blvd Ste 201Richland, WA 99352
Phone: (509) 942-3288
Fax: (509) 942-3167
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 41 Burlington Mall Rd Mailstop 201fl3, Burlington, MA 01805-1473 — (781) 901-0836
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence MD60964556 (WA) |
|---|---|
| Urology Physician | Taxonomy 208800000X · Licence 264720 (MA) |
Record details
| NPI number | 1740523158 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 3, 2013 |
| Last updated in NPPES | June 23, 2021 |
| Certification date | June 23, 2021 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL) |
| Graduated | 2013 (13 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Richland
-
Naeem T Chavla, MD
948 Stevens Dr Ste A, Richland, WA 99352-3547 · (509) 946-5150
-
Fred M Foss, MD
948 Stevens Dr Ste A, Richland, WA 99352-3547 · (509) 946-5150
-
Fred M Foss, MD
948 Stevens Dr Ste A, Richland, WA 99352-3547 · (509) 946-5150
-
Dr. Patrick W Gavin, DO
1100 Goethals Dr Ste D Kadlec Clinic Urology, Richland, WA 99352 · (509) 942-3165
-
Julio Slongo, MD
780 Swift Blvd Ste 201, Richland, WA 99352-3524 · (509) 942-3070
-
David D Vance, MD
948 Stevens Dr Ste A, Richland, WA 99352-3547 · (509) 946-5150
-
Washington Urology PLLC
948 Stevens Dr Ste C, Richland, WA 99352-3547 · (509) 946-8000