MEDICARE: KARL DAVID HADLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD00018482	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	080036378	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	75431	OTHER	WA	LABOR & INDUSTRIES
2	5992027	OTHER		AETNA
3	8931483	OTHER	WA	CRIME VICTIMS COMP
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	HA9123	OTHER		REGENCE BLUE SHIELD

General Provider Information

NPI Number	:	1831140185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARL DAVID HADLEY M.D.

Provider Business Mailing Address
First Line	:	9621 RIDGETOP BLVD NW
Second Line	:
City	:	SILVERDALE
State	:	WA
Zip	:	98383-8502
Country	:	US
Telephone Number	:	360-782-3501
Fax Number	:

Provider Business Practice Location Address
First Line	:	19245 7TH AVE NE
Second Line	:
City	:	POULSBO
State	:	WA
Zip	:	98370-7504
Country	:	US
Telephone Number	:	360-782-3500
Fax Number	:	360-782-3540

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	03/07/2023

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Directions to “ KARL DAVID HADLEY M.D.” Practice Location

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