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Individual

KIM HIATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7485 E TANQUE VERDE RD, TUCSON, AZ 85715-3477
(520) 320-7681
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3661

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
E-3291
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
E-3291
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146946001
AR
01
220032715
RAILROAD MEDICARE
AR
Enumeration date
10/13/2006
Last updated
08/02/2024
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