Healthcare Provider Details

I. General information

NPI: 1861329088
Provider Name (Legal Business Name): KADLEC FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 SWIFT BLVD
RICHLAND WA
99352-3514
US

IV. Provider business mailing address

888 SWIFT BLVD
RICHLAND WA
99352-3514
US

V. Phone/Fax

Practice location:
  • Phone: 509-942-2661
  • Fax:
Mailing address:
  • Phone: 509-942-2661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: DR. CHUN TAM
Title or Position: RESIDENT
Credential: MD
Phone: 509-942-2661