Individual
MR. KENNETH MARK HYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, D.C.
Contact information
Practice address
3329 ERICA PL, LOMPOC, CA 93436-8320
(805) 588-0161
Mailing address
3329 ERICA PL, LOMPOC, CA 93436-8320
(805) 588-0161
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
19078
CA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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