Individual provider · Type 1 NPI

Kevin R. Hannon, MD

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

NPI number 1528624012 Active

Practice location

601 Elmwood Ave # 601G
Rochester, NY 14642-0001

Call (585) 275-2874 Map

Mailing address

196 Fishermans Cv
Rochester, NY 14626-4859

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X315304 (NY)
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 1528624012

Kevin R. Hannon, MD's National Provider Identifier is 1528624012, issued on May 10, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, NY. The record was last updated on Jul 17, 2023.