Individual
DR. KIYOMI ANNE HACHIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6440 SOUTH MILLROCK DRIVE SUITE 175, SALT LAKE CITY, UT 84121
(800) 328-3075
Mailing address
1978 HIGHLAND PARKWAY, ST PAUL, MN 55116-1351
(651) 699-9814
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26809
MN
208000000X
Pediatrics Physician
4301093549
MI
Other
Enumeration date
05/10/2007
Last updated
01/27/2020
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