Individual
KEVIN G HARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
907 HARRIS AVE, STE 203, BELLINGHAM, WA 98225-7005
(360) 223-1602
Mailing address
4152 MERIDIAN ST, STE 105 PMB 154, BELLINGHAM, WA 98226-5598
(360) 223-1602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016978
WA
Other
Enumeration date
09/15/2007
Last updated
09/15/2007
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