MR. BRUCE PATRICK DELEONARD


Address: Kania Clinic 3000 W Kennewick Rd., Kennewick, WA 99301
Phone: 5095439300

MR. BRUCE PATRICK DELEONARD (NPI# 1609906411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609906411
Entity Type Individual
Full Name MR. BRUCE PATRICK DELEONARD
Credential PA-C
Practice Address Kania Clinic 3000 W Kennewick Rd.
Kennewick
WA 99301
Mailing Address 2319 Frazier Dr
Walla Walla
WA 99362-1518
Practice Telephone 5095439300
Mailing Telephone 5095201852
Mailing Fax Number 5095299924
Enumeration Date 2007-03-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA10004413 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address KANIA CLINIC 3000 W KENNEWICK RD.
City KENNEWICK
State WA
Zip Code 99301

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063928448 Heidi April Physician Assistant 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 2017-12-20
1861656902 Anthony Vincent Carabba Physician Assistant 4303 W 27th Ave Ste D, Kennewick, WA 99338-1986 2008-07-17
1992970297 William S. Waites Physician Assistant 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 2008-04-28
1477635159 Steven R Zirker Physician Assistant 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 2006-10-20
1275022964 James Mathew Petersen Physician Assistant 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 2018-05-08
1467972646 Timothy Salvos Physician Assistant 6710 W Okanogan Pl, Kennewick, WA 99336-8001 2017-06-20
1346778271 Jeremiah Hendricks Price Physician Assistant 2828 S Olympia St, Kennewick, WA 99337-4356 2017-05-23
1841735388 Laura Cunningham Physician Assistant 6802 W Rio Grande Ave Ste 1, Kennewick, WA 99336-7684 2016-12-19
1184171290 Pinnicale Pain Center Physician Assistant 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 2016-09-07
1396177119 Carrie L Lamb Physician Assistant 6802 W Rio Grande Ave Ste 1, Kennewick, WA 99336-7684 2013-08-02
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Competitor

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City KENNEWICK
Zip Code 99301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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