Healthcare Provider Details

I. General information

NPI: 1629908934
Provider Name (Legal Business Name): HANNAH KATE KILBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3798 ASHLAN AVE APT 2074
CLOVIS CA
93619-5357
US

IV. Provider business mailing address

3798 ASHLAN AVE APT 2074
CLOVIS CA
93619-5357
US

V. Phone/Fax

Practice location:
  • Phone: 559-797-1272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT16345
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: