Provider Demographics
NPI:1114052305
Name:SNELL, RICHARD KIE (AAS,BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:KIE
Last Name:SNELL
Suffix:
Gender:M
Credentials:AAS,BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 W IMNAHA AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-2714
Mailing Address - Country:US
Mailing Address - Phone:509-736-4005
Mailing Address - Fax:
Practice Address - Street 1:1149 N EDISON ST STE D
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1375
Practice Address - Country:US
Practice Address - Phone:509-736-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA00003704237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist