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NPI Code Detail

MEDICARE: KEVIN G HARDMAN LMP

MEDICARE:   KEVIN G HARDMAN  LMP
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
1174400000XSpecialistMA00016978WA

General Provider Information

NPI Number : 1801082615
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN G HARDMAN LMP
Provider Business Mailing Address
First Line : 4152 MERIDIAN ST
Second Line : STE 105 PMB 154
City : BELLINGHAM
State : WA
Zip : 98226-5598
Country : US
Telephone Number : 360-223-1602
Fax Number :
Provider Business Practice Location Address
First Line : 907 HARRIS AVE
Second Line : STE 203
City : BELLINGHAM
State : WA
Zip : 98225-7005
Country : US
Telephone Number : 360-223-1602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2007
Last Update Date : 09/15/2007

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Directions to “ KEVIN G HARDMAN LMP” Practice Location

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