Hanley, Kevin W

Hanley, Kevin W is an individual health care provider with primary practice located at 1100 Balsam Ave , Boulder CO 80304-3404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Hanley, Kevin W can be contacted via phone (303) 440-2273.

Contact Information

Primary practice address
1100 Balsam Ave Boulder CO 80304-3404
Phone: (303) 440-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 16965 Colorado

Profile Details

NPI number 1003877390
LBN Legal business name Hanley, Kevin W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Mar 15th, 2021 - about 3 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 1003877390 NPPES
Colorado MEDICAID 01169655
Colorado Other 220020716

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