Kelly Kiersten Uffenorde | Kennewick, WA • PECOS Search

Kelly Kiersten Uffenorde

Counselor

Behavioral Health & Social Service Providers

3321 W Kennewick Ave, Kennewick, WA 99336-2957

PECOS Enrollment

Based on the most recent information from CMS, provider Kelly Kiersten Uffenorde does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 10:04 AM.

Profile Details

Provider ID
1831829217
Provider Type
Individual
Full Name
Uffenorde, Kelly Kiersten
Gender
Female

Sole Proprietor
No
Enumeration Date
6/16/2022
Last Updated
6/16/2022

Contact Information

Practice Location

3321 W Kennewick Ave, Kennewick, WA 99336-2957

Unlisted Fax

Mailing Location

3321 W Kennewick Ave, Kennewick, WA 99336-2957

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer