Individual
DR. KENNETH L. HATCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1831 FOREST DR, STE C, ANNAPOLIS, MD 21401-4430
(410) 263-7093
Mailing address
1831 FOREST DR, STE C, ANNAPOLIS, MD 21401-4430
(410) 263-7093
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00409
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323730-05
BCBS OF MD
—
01
—
8224-0001
BCBS NCA
—
Enumeration date
07/28/2005
Last updated
07/08/2007
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