Individual
KENNETH MARVIN HUGHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2420 W COURTLAND AVE, SPOKANE, WA 99205-2420
(509) 221-8745
Mailing address
2420 W COURTLAND AVE, SPOKANE, WA 99205-2420
(509) 221-8745
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
603527491
WA
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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