Hanyzeski, Khanh Kim

Hanyzeski, Khanh Kim is an individual health care provider with primary practice located at 19910 S Tamiami Trl Ste C , Estero FL 33928-4140. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Hanyzeski, Khanh Kim can be contacted via phone (239) 498-6912.

Contact Information

Primary practice address
19910 S Tamiami Trl Ste C Estero FL 33928-4140
Phone: (239) 498-6912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X J6722 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS 9865 Florida

Profile Details

NPI number 1770503377
LBN Legal business name Hanyzeski, Khanh Kim
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 29th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770503377 NPPES
Texas MEDICAID 121318305
Texas MEDICAID 277699500

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