Individual
KENNETH E HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9040 REID ST # A, ATTN: CREDENTIALS), JOINT BASE LEWIS MCCHORD, WA 98431-5037
(253) 968-1250
(253) 968-2550
Mailing address
9040 REID ST # A, ATTN: CREDENTIALS), JOINT BASE LEWIS MCCHORD, WA 98431-5037
(253) 968-1250
(253) 968-2550
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
11/30/2012
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