Kymbrly Hannah is a Pediatrics in Fayetteville, Arkansas. Kymbrly Hannah practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kymbrly Hannah is 1033175203. The last update date is 2007-07-09.
Kymbrly Hannah's current location address is 2474 E Joyce Blvd, Fayetteville, Arkansas. You can contact this provider via phone number 4795218326 and fax number 4795215439. The mailing address for Kymbrly Hannah is 2474 E Joyce Blvd, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kymbrly Hannah |
|---|---|
| Address | 2474 E Joyce Blvd, Fayetteville, Arkansas |
| Phone Number | 4795218326 |
| Fax Number | 4795215439 |
| Sole Proprietor | X |
| Credentials | RPT |
NPI Number Detail
| NPI Number | 1033175203 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2474 E Joyce Blvd |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727034519 |
| Phone Number | 4795218326 |
| Fax Number | 4795215439 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 2309 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5U424 | AR | BLUE CROSS BLUE SHEILD |
Post Comment/ Review Below
What is the unique identifier code issued to Kymbrly Hannah by the Centers for Medicare & Medicaid Services (CMS)?
The Kymbrly Hannah has been assigned the NPI (National Provider Identifier) 1033175203. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kymbrly Hannah?
The Kymbrly Hannah is situated at 2474 E Joyce Blvd, in the city of Fayetteville, state of AR, with the zip code 727034519.
What is Kymbrly Hannah's area of expertise and its corresponding taxonomy classification?
The Kymbrly Hannah's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
When did Kymbrly Hannah receive its 1033175203 assignment?
The Kymbrly Hannah was assigned its 1033175203 on 2006-04-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Kymbrly Hannah most recently updated or revised?
The information pertaining to Kymbrly Hannah, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.