Kiranmayi Korimerla
Family Doctor Family Doctor - Adult Medicine
336 Chardinnay Ave #a Kadlec Clinic Prosser Primary Care
Prosser
, Washington 99350
Kiranmayi Korimerla
Family Doctor Family Doctor - Adult Medicine
336 Chardinnay Ave #a Kadlec Clinic Prosser Primary Care
Prosser
, Washington 99350
(509) 942-2268
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About
Features
Specialties
- Family Doctor
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Kiranmayi Korimerla
- 888 Swift Blvd
- Richland, WA
- Zip : 99352
- Fax : (509) 942-2268
- Phone : (509) 942-3627
Second Address
- Kiranmayi Korimerla
- 336 Chardinnay Ave #a Kadlec Clinic Prosser Primary Care
- Prosser, WA
- Zip : 99350
- Fax : (509) 786-2026
- Phone : (509) 786-2002
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD60470357 | WA |
| N | 207QA0505X | Family Doctor - Adult Medicine | MD 60470357 | WA |
National Provider Identifier
| NPI | 1174939805 |
|---|---|
| Provider Name | Kiranmayi Korimerla |
| First Address | Richland, WA 99352 |
| Second Address | Prosser, WA 99350 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2014 |
| Last Update Date | 16/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.