Individual
MR. KENNETH JOHN HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
1825 N WILLOW HWY, LANSING, MI 48917-1644
(517) 886-5798
(517) 886-1548
Mailing address
1825 N WILLOW HWY, LANSING, MI 48917-1644
(517) 886-5798
(517) 886-1548
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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