KENNETH J EGLI MD
NPI 1205922879
Preventive Medicine - Addiction Medicine in Kennewick, WA

Q: What is Kenneth Egli's NPI number?

The NPI number for Kenneth Egli is 1205922879. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Kenneth Egli's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Egli was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2006

8508 W GAGE BLVD STE A101, KENNEWICK, WA 99336(877) 522-1275(833) 888-7145 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2020, Jan 23, 2020, Jun 14, 2018 (3 updates tracked since 2018).

On this page

About Kenneth J Egli Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH J EGLI MD (NPI 1205922879) is an individual addiction medicine provider in Kennewick, Washington, licensed in Washington (MD00041379) and active in the NPI registry since October 2006. He maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1205922879

Entity TypeIndividualMale

Primary Taxonomy2083A0300X

Provider Legal NameKENNETH J EGLICredential: MD

Location Address8508 W GAGE BLVD STE A101Kennewick, WA 99336-8106

Mailing Address5615 Dunbarton AvePasco, WA 99301-8216 · (509) 222-1275

Phone(877) 522-1275

Fax(833) 888-7145

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateNovember 18, 20203 updates tracked since enumeration

NPPES CertifiedNovember 18, 2020

✔ NPI 1205922879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

License✔ Licensed in WA · MD00041379

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedEmergency MedicineTaxonomy 207P00000X · License MD00041379 (WA)

8508 W GAGE BLVD STE A101, Kennewick, WA 99336

Open in Google Maps ↗

Secondary Practice Location 1

Location 1888 Swift BlvdRichland, WA 99352-3514 · Phone (509) 942-2159 · Fax (509) 942-2757

Other Identifiers 3

Other0227845WA · Liwa

Other911348529WA · Other Ins #

Medicaid8358749WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLAKE BITTON PA-C, PHD, RDH

Physician Assistant