Harthcock, Kerry A

Harthcock, Kerry A is an individual health care provider with primary practice located at 1806 W Lincoln Ave , Yakima WA 98902-2473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Harthcock, Kerry A can be contacted via phone (509) 452-4520.

Contact Information

Primary practice address
1806 W Lincoln Ave Yakima WA 98902-2473
Phone: (509) 452-4520
Fax: (509) 452-5224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00025367 Washington

Profile Details

NPI number 1407951395
LBN Legal business name Harthcock, Kerry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jan 27th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407951395 NPPES
Washington Other 009865 LABOR AND INDUSTRIES
Washington MEDICAID 1045640 LABOR AND INDUSTRIES
Washington Other 8941847 LABOR AND INDUSTRIES

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