Individual provider · Type 1 NPI

Kimberly Hackshaw

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1245142124 Active

Practice location

550 1st Ave
New York, NY 10016-6402

Call (718) 290-4038 Map

Mailing address

4 Byrnes Ln W
Sayreville, NJ 08872-2214

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245142124

Kimberly Hackshaw's National Provider Identifier is 1245142124, issued on Sep 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Sep 17, 2026.