Hancock, Kristin Elaine

Hancock, Kristin Elaine is an individual health care provider with primary practice located at 2090 W Dartmouth St , Olathe KS 66061-6869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hancock, Kristin Elaine can be contacted via phone (913) 356-8300.

Contact Information

Primary practice address
2090 W Dartmouth St Olathe KS 66061-6869
Fax: (913) 356-8711
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1500781 Kansas

Profile Details

NPI number 1427001064
LBN Legal business name Hancock, Kristin Elaine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Apr 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427001064 NPPES
Kansas Other 033D00246 WPS-MEDICARE
Kansas MEDICAID 100403480C WPS-MEDICARE

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