Individual provider · Type 1 NPI

Kathryn L. Hanks, PA

Surgical Physician Assistant · Fresno, CA

NPI number 1558739052 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Fax (559) 320-0532

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA53064 (CA)
Nurse Practitioner 363L00000XNP9003515 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1558739052

Kathryn L. Hanks, PA's National Provider Identifier is 1558739052, issued on Sep 14, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Dec 14, 2015.