Individual provider · Type 1 NPI
Kelly A. Hanks, OTC
Technician/Technologist · Laguna Woods, CA
NPI number
1750808804
Active
Practice location
24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist Primary | 156F00000X | None listed |
Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.
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About NPI 1750808804
Kelly A. Hanks, OTC's National Provider Identifier is 1750808804, issued on Aug 29, 2017. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Laguna Woods, CA. The record was last updated on Aug 29, 2017.