Individual
MR. KEVIN W HAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-A
Contact information
Practice address
8102 W. GRANDRIDGE BLVD, SUITE A, KENNEWICK, WA 99336
(509) 735-7461
(509) 783-8167
Mailing address
8102 W. GRANDRIDGE BLVD, SUITE A, KENNEWICK, WA 99336
(509) 735-7461
(509) 783-8167
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
CD00000983
WA
237600000X
Audiologist-Hearing Aid Fitter
CD00000983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8338394
—
WA
Enumeration date
07/28/2006
Last updated
01/22/2013
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