Hanyzeski, Khanh Kim
Hanyzeski, Khanh Kim is an individual health care provider with primary practice located at 19910 S Tamiami Trl Ste C , Estero FL 33928-4140. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Hanyzeski, Khanh Kim can be contacted via phone (239) 498-6912.Contact Information
Primary practice address
19910 S Tamiami Trl Ste C
Estero FL 33928-4140
Phone: (239) 498-6912
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | J6722 | Texas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS 9865 | Florida |
Profile Details
NPI number | 1770503377 |
---|---|
LBN Legal business name | Hanyzeski, Khanh Kim |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2006 |
Last updated | Nov 29th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770503377 | NPPES |
Texas | MEDICAID | 121318305 | |
Texas | MEDICAID | 277699500 |
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