Individual
KATHLEEN M HURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 LILLY RD NE, BLDG. 3, OLYMPIA, WA 98506-5102
(360) 455-4500
Mailing address
520 LILLY RD NE, BLDG. 3, OLYMPIA, WA 98506-5102
(360) 455-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00030063
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1084383
—
WA
01
—
P00266825
MEDICARE RAILROAD
WA
Enumeration date
12/28/2006
Last updated
04/19/2011
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