Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 0415455 | KS |
NPI | 1063465839 |
---|---|
Provider Name | Dr. Hamner Hannah |
First Address | Overland Park, KS 66209-3721 |
Second Address | Overland Park, KS 66209-3721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 30/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100002240 F | (05) | KS |
100002240B | (05) | KS |
100002240C | (05) | KS |
10002240E | (05) | KS |
201059748 | (05) | MO |
201059755 | (05) | MO |
C52249 | (02) |