NPI 1164503264

Kenneth E Hyde, PAC

Practitioner Medical Physician Assistant Joint Base Lewis McChord, WA

Practice location

Address: 9040 Reid St # a Attn: Credentials), Joint Base Lewis McChord, WA 98431-5037
Phone: (253) 968-1250
Fax: (253) 968-2550

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Other Physician Assistant providers in Washington →

Registry record

NPI: 1164503264
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2006
Record last updated: 30 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.