Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLEY A HANNEKEN, MD
ActiveKIMBERLEY A HANNEKEN, MD is a Adolescent Medicine healthcare provider located in UKIAH, California. NPI 1215047782 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · UKIAH, CA
Registration Details
- NPI Number
- 1215047782
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.998679296511 yrs)
- Last Updated
- Aug 26, 2015
- Licenses
-
036094217 (IL)G136098 (CA)
Practice Information
- Address
-
260 HOSPITAL DRSUITE 209UKIAH, CA, 954824568Browse CA providers · Browse ZIP 95482
- Phone
- 7074637488
- Fax
- 7074627846
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
Other Adolescent Medicine Providers in UKIAH, CA
| Name | Credential | NPI |
|---|---|---|
| EVITA JOSEPH | MD | 1275161887 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.