# DR. KENT M HATFIELD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811938152
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2754 | AZ | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 03/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080131963 | RAILROAD | AZ |
| 05 | — | 147620001 | — | AZ |
| 01 | — | 1Z1018 | HEALTH NET AZ | AZ |
| 01 | — | 526610254 | TRICARE | AZ |
| 01 | — | AZ0392550 | BCBS | AZ |
