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NPI Code Detail

MEDICARE: KADLEC FOUNDATION

MEDICARE: KADLEC FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1861329088
Entity Type Code : Organization
Provider Name (Legal Business Name) : KADLEC FOUNDATION
Provider Business Mailing Address
First Line : 888 SWIFT BLVD
Second Line :
City : RICHLAND
State : WA
Zip : 99352-3514
Country : US
Telephone Number : 509-942-2661
Fax Number :
Provider Business Practice Location Address
First Line : 888 SWIFT BLVD
Second Line :
City : RICHLAND
State : WA
Zip : 99352-3514
Country : US
Telephone Number : 509-942-2661
Fax Number :
Authorized Official
Title or Position : RESIDENT
Name : DR. CHUN TAM
Credential : MD
Telephone Number : 509-942-2661
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “KADLEC FOUNDATION ” Practice Location

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