Hanks, Kimberly Louise

Hanks, Kimberly Louise is an individual health care provider with primary practice located at 500 5Th St , Brookings OR 97415-9702. 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. Hanks, Kimberly Louise can be contacted via phone (541) 412-3000.

Contact Information

Primary practice address
500 5Th St Brookings OR 97415-9702
Phone: (541) 412-3000
Fax: (541) 412-2081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15015 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA165753 Oregon

Profile Details

NPI number 1538248018
LBN Legal business name Hanks, Kimberly Louise
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Nov 14th, 2022 - about 2 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 1538248018 NPPES
Oregon Other 1083656367 CURRY MEDICAL CENTER'S NPI
Oregon Other 1487696985 CURRY MEDICAL CENTER'S NPI
Oregon MEDICAID 500605015 CURRY MEDICAL CENTER'S NPI

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