Provider Demographics
NPI:1538367594
Name:THE KANIA CLINIC
Entity type:Organization
Organization Name:THE KANIA CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:KANIA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:509-783-8700
Mailing Address - Street 1:PO BOX 2388
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99302-2388
Mailing Address - Country:US
Mailing Address - Phone:509-783-8700
Mailing Address - Fax:
Practice Address - Street 1:3000 W KENNEWICK AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2922
Practice Address - Country:US
Practice Address - Phone:509-783-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care