Individual
KERRY A HARTHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
Mailing address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00025367
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009865
LABOR AND INDUSTRIES
WA
05
—
1045640
—
WA
01
—
8941847
L&I CRIME VICTIM NUMBER
WA
Enumeration date
09/14/2006
Last updated
01/27/2011
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