NPI 1730711854

Kennewick Radiology Group, PC

Organisation Diagnostic Radiology Physician San Mateo, CA

Practice location

Address: 728 Murphy Dr, San Mateo, CA 94402-3421
Phone: (858) 546-3800
Mailing address: PO Box 4030, Pasco, WA 99302-4030

Authorised official

Name: Amy Elizabeth Steele
Title: Credentialing Specialist
Phone: (559) 455-4109

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in California →

Registry record

NPI: 1730711854
Entity type: Organization
NPI issued: 6 Feb 2020
Record last updated: 6 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.