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NPI Code Detail

MEDICARE: KRISTIN ELAINE HANCOCK PA

MEDICARE: KRISTIN ELAINE HANCOCK PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1500781KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1033D00246OTHERKSWPS-MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427001064
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN ELAINE HANCOCK PA
Provider Business Mailing Address
First Line : 2090 W DARTMOUTH ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-6869
Country : US
Telephone Number : 913-856-8300
Fax Number : 913-856-8711
Provider Business Practice Location Address
First Line : 2090 W DARTMOUTH ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-6869
Country : US
Telephone Number : 913-356-8300
Fax Number : 913-356-8711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 04/28/2020

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1053609107 — ANJALEE GOEL CARLSON DO
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Directions to “ KRISTIN ELAINE HANCOCK PA” Practice Location

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