Organization
KENNETH HILLIARD DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HILLIARD DPM (OWNER)
(253) 445-1682
Entity
Organization
Contact information
Practice address
1011 EAST MAIN, SUITE 101, PUYALLUP, WA 98372-6768
(253) 445-1682
(253) 770-3833
Mailing address
1011 EAST MAIN, SUITE 101, PUYALLUP, WA 98372-6768
(253) 445-1682
(253) 770-3833
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000267
WA
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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