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Individual
KRISTIN ELAINE HANCOCK
Active
Individual
KRISTIN ELAINE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500781
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033D00246
WPS-MEDICARE
KS
05
—
100403480C
—
KS
Enumeration date
05/17/2006
Last updated
04/28/2020
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