Individual
MR. KEVIN O HATCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
401 2ND LOOP RD STE A, FLORENCE, SC 29505-2815
(843) 669-3665
(843) 669-3706
Mailing address
401 N MAIN ST, HEMINGWAY, SC 29554-9191
(843) 558-4830
(843) 558-7752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3663
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2473
—
SC
Enumeration date
08/25/2006
Last updated
07/09/2007
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