Kevin Lee Hulsey, RPT Valid NPI

Individual provider · Specialist · Nampa, ID

NPI

1114012788

Type

Individual (Type 1)

Primary specialty

Specialist

Specialty group

Other Service Providers

Taxonomy code

174400000X

License number

RPT-1414 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-03

Last updated

2007-07-08