Individual
KEVIN THOMAS HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1010 SHERIDAN ST STE 201, PORT TOWNSEND, WA 98368-2901
(360) 385-5444
(360) 385-5352
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-5444
(360) 385-5352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004257
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8420135
—
WA
Enumeration date
05/19/2006
Last updated
06/08/2021
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