Most Relevant Information
Provider Data
| NPI Number: | 1003200064 |
| Provider Name: | KENNETH PRICER RN, BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 201140972RN |
Most Important Dates
| Enumeration Date: | 03/26/2015 |
| Last Updated: | 02/20/2018 |
Provider Practice Location
715 SW RAMSEY AVE
GRANTS PASS
OR
975275500
Practice Location Phone/Fax
| Phone: | 5414763302 |
| Fax: | 5414762895 |
Provider Mailing Location
715 SW RAMSEY AVE
GRANTS PASS
OR
975275500
Provider Mailing Phone/Fax
| Phone: | 5414763302 |
| Fax: | 5414762895 |