Haughton, Kevin Mark

Haughton, Kevin Mark is an individual health care provider with primary practice located at 700 Lilly Rd Ne , Olympia WA 98506-5115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haughton, Kevin Mark can be contacted via phone (360) 923-7000.

Contact Information

Primary practice address
700 Lilly Rd Ne Olympia WA 98506-5115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0032480 Washington

Profile Details

NPI number 1386645281
LBN Legal business name Haughton, Kevin Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated May 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386645281 NPPES
Washington MEDICAID 8176216

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