| NPI | 1356378681 |
|---|---|
| Former Legal Business Name | KENNETH W HAUCK, MD PA |
| Entity Type | Organization |
| Authorized Contact | KENNETH WILLIAM HAUCK President 301-989-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |