Individual
DR. KENNETH J HATHAWAY
Active
Individual
DR. KENNETH J HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO278
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050389568
UNITEDHEALTHCARE
RI
01
—
3623
FEDERAL BLUE CROSS
RI
01
—
3623-2
BLUE CROSS OF RHODE ISLAN
RI
05
—
9003623
—
RI
Enumeration date
03/17/2006
Last updated
06/23/2008
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