Individual
DR. KEVIN MARK HAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0032480
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8176216
—
WA
Enumeration date
08/02/2005
Last updated
05/18/2021
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