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NPI Code Detail

MEDICARE: DR. KARL KUZIS MD PHD

MEDICARE: DR. KARL KUZIS MD PHD
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
1207Q00000XFamily Medicine PhysicianDR.0054608CO
2207VX0000XObstetrics PhysicianMD00040899WA
3207Q00000XFamily Medicine PhysicianMD00040899WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154402253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARL KUZIS MD PHD
Provider Business Mailing Address
First Line : 550 GAGE BLVD STE 101
Second Line :
City : RICHLAND
State : WA
Zip : 99352-9532
Country : US
Telephone Number : 509-942-3627
Fax Number : 509-627-2983
Provider Business Practice Location Address
First Line : 940 NORTHGATE DR
Second Line :
City : RICHLAND
State : WA
Zip : 99352-3505
Country : US
Telephone Number : 509-942-2516
Fax Number : 509-942-2527
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 05/18/2021

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