Healthcare Provider Details

I. General information

NPI: 1720997505
Provider Name (Legal Business Name): OLIVIA H HANKEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 OAKHILL RD
HOLLY MI
48442-8723
US

IV. Provider business mailing address

9250 OAKHILL RD
HOLLY MI
48442-8723
US

V. Phone/Fax

Practice location:
  • Phone: 248-660-3233
  • Fax:
Mailing address:
  • Phone: 248-660-3233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: