Individual
DR. KENNETH R. HANINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 NE CUSHING DR, SUITE 100, BEND, OR 97701-3887
(541) 388-2333
(541) 330-8230
Mailing address
1303 NE CUSHING DR, SUITE 100, BEND, OR 97701-3887
(541) 388-2333
(541) 330-8230
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35-05-9608
OH
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD27326
OR
Other
Enumeration date
06/08/2006
Last updated
03/19/2013
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