Individual
KHAMSAENGPHET HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10056 SE 240TH ST STE A, KENT, WA 98031-5126
(253) 520-5611
(253) 850-2982
Mailing address
10056 SE 240TH ST STE A, KENT, WA 98031-5126
(253) 520-5611
(253) 850-2982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006922
WA
Other
Enumeration date
12/27/2006
Last updated
06/16/2010
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