Individual provider · Type 1 NPI

Keith J. Hacker, P.A.

Physician Assistant · Port Washington, WI

NPI number 1952508400 Active

Practice location

1777 W Grand Ave
Port Washington, WI 53074-2077

Call (262) 284-3456 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X523 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1952508400

Keith J. Hacker, P.A.'s National Provider Identifier is 1952508400, issued on Jun 28, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Washington, WI. The record was last updated on Nov 23, 2021.