Hines, Kevin Thomas

Hines, Kevin Thomas is an individual health care provider with primary practice located at 1010 Sheridan St Ste 201 , Port Townsend WA 98368-2901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hines, Kevin Thomas can be contacted via phone (360) 385-5444.

Contact Information

Primary practice address
1010 Sheridan St Ste 201 Port Townsend WA 98368-2901
Phone: (360) 385-5444
Fax: (360) 385-5352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004257 Washington

Profile Details

NPI number 1558315135
LBN Legal business name Hines, Kevin Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jun 8th, 2021 - about 4 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 1558315135 NPPES
Washington MEDICAID 8420135

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