Individual
KEVIN ERIC HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
(509) 942-2757
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00046333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216263
LIWA
WA
01
—
3075HO
BSWA
WA
01
—
3735HO
BSWA
WA
05
—
8462681
—
WA
Enumeration date
07/03/2006
Last updated
05/23/2008
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