Hannah, Kevin
Hannah, Kevin is an individual health care provider with primary practice located at 4415 E Falcon Dr , Fayetteville AR 72701-7436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hannah, Kevin can be contacted via phone (479) 527-0705.Contact Information
Primary practice address
4415 E Falcon Dr
Fayetteville AR 72701-7436
Phone: (479) 527-0705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | R66986 | Arkansas |
Profile Details
| NPI number | 1548244478 |
|---|---|
| LBN Legal business name | Hannah, Kevin |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jun 9th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548244478 | NPPES |
| Arkansas | MEDICAID | 159087001 |
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