Kimberley A Hanneken
Family Doctor - Adult Medicine
260 Hospital Dr Suite 209
Ukiah
, California 95482-4568
Kimberley A Hanneken
Family Doctor - Adult Medicine
260 Hospital Dr Suite 209
Ukiah
, California 95482-4568
(707) 462-7846
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Kimberley A Hanneken
- 260 Hospital Dr Suite 209
- Ukiah, CA
- Zip : 95482-4568
- Fax : (707) 462-7846
- Phone : (707) 463-7488
Second Address
- Kimberley A Hanneken
- 260 Hospital Dr Suite 209
- Ukiah, CA
- Zip : 95482-4568
- Fax : (707) 462-7846
- Phone : (707) 463-7488
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FAQs
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What type of doctor is Kimberley A Hanneken
In what state does Kimberley A Hanneken practice in?
Where is Kimberley A Hanneken ’s practice located?
What is Kimberley A Hanneken ’s gender?
Is Kimberley A Hanneken a sole practitioner?
Is Kimberley A Hanneken accepting new patients?
What languages does Kimberley A Hanneken speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0505X | Family Doctor - Adult Medicine | 036094217 | IL |
| Y | 207QA0505X | Family Doctor - Adult Medicine | G136098 | CA |
National Provider Identifier
| NPI | 1215047782 |
|---|---|
| Provider Name | Kimberley A Hanneken |
| First Address | Ukiah, CA 95482-4568 |
| Second Address | Ukiah, CA 95482-4568 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 26/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036094217 | (05) | IL |
| 1043486731 | HEALTH ALLIANCE (01) | IL |
| 1326041229 | MEDICARE GROUP NPI (01) | IL |
| 216239 | MEDICARE GROUP PTAN (01) | IL |
| G51652 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.