Kenneth E Hyde in Joint Base Lewis Mcc - Medical

Kenneth E Hyde - NPI 1164503264

Kenneth E Hyde is a Medical in Joint Base Lewis Mcc, Washington. Kenneth E Hyde practices all healthcare services and medical treatments related to Medical. The NPI Number for Kenneth E Hyde is 1164503264. The last update date is 2012-11-30.

Kenneth E Hyde's current location address is 9040 Reid St # A, Joint Base Lewis Mcc, Washington. You can contact this provider via phone number 2539681250 and fax number 2539682550. The mailing address for Kenneth E Hyde is 9040 Reid St # A, Joint Base Lewis Mcc, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth E Hyde
Address 9040 Reid St # A, Joint Base Lewis Mcc, Washington
Phone Number 2539681250
Fax Number 2539682550
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1164503264
Provider Enumeration Date 2006-10-17
Last Updated Date 2012-11-30

Provider Mailing Address Detail

Address 9040 Reid St # A
City Joint Base Lewis Mcc
State Washington (WA)
Post Code 984315037
Phone Number 2539681250
Fax Number 2539682550

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Kenneth E Hyde

What is the Kenneth E Hyde's 1164503264?

The Kenneth E Hyde's NPI (National Provider Identifier) Number is 1164503264. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kenneth E Hyde's physical address?

The Kenneth E Hyde is physically located at 9040 Reid St # A, in the city of Joint Base Lewis Mcc, WA, with the postal code 984315037.

What is Kenneth E Hyde's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kenneth E Hyde's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1164503264 to Kenneth E Hyde?

The Centers for Medicare & Medicaid Services originally issued the 1164503264 to Kenneth E Hyde on 2006-10-17.

When was the information related to Kenneth E Hyde most recently updated or refreshed?

The details pertaining to the Kenneth E Hyde, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-30.

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