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NPI Code Detail

MEDICARE: MIKENNA HANKINS

MEDICARE: MIKENNA HANKINS
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
1106S00000XBehavior TechnicianLA

General Provider Information

NPI Number : 1427986587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKENNA HANKINS
Provider Business Mailing Address
First Line : 2522 E 70TH ST
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-4002
Country : US
Telephone Number : 318-795-3388
Fax Number : 318-795-3399
Provider Business Practice Location Address
First Line : 2522 E 70TH ST
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-4002
Country : US
Telephone Number : 318-795-3388
Fax Number : 318-795-3399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ MIKENNA HANKINS ” Practice Location

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