Individual
KENNETH SHANE HYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10272 HIDDEN PARK WAY, PEYTON, CO 80831-8353
(903) 276-2528
Mailing address
10272 HIDDEN PARK WAY, PEYTON, CO 80831-8353
(903) 276-2528
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0995047-NP
CO
Other
Enumeration date
09/10/2019
Last updated
09/19/2019
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