Most Relevant Information
Provider Data
NPI Number: | 1003286022 |
Provider Name: | KEVIN GARNETT HAD |
Entity Type: | Individual |
Taxonomy Code: | 237700000X |
Specialty: | Hearing Instrument Specialist |
License Number: | HA 8011 |
Most Important Dates
Enumeration Date: | 10/02/2015 |
Last Updated: | 07/16/2018 |
Provider Practice Location
4045 LONE TREE WAY
SUITE D
ANTIOCH
CA
94531
Practice Location Phone/Fax
Phone: | 9257783298 |
Fax: |
Provider Mailing Location
4045 LONE TREE WAY
SUITE D
ANTIOCH
CA
945316205
Provider Mailing Phone/Fax
Phone: | 9257783298 |
Fax: |