Individual
KENNETH JOHN HARTMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1228 E RUSHOLME ST, STE 302, DAVENPORT, IA 52803
(563) 823-9300
(563) 823-9330
Mailing address
1228 E RUSHOLME ST, STE 3020, DAVENPORT, IA 52803
(563) 823-9300
(563) 823-9330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
NO LICENSE
IA
Other
Enumeration date
04/20/2006
Last updated
04/27/2021
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