Individual
KAITLIN HANKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
4915 LONGVIEW DR, FAIRFAX, IA 52228-9772
(319) 331-2364
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
051297810
IL
Other
Enumeration date
09/04/2014
Last updated
02/23/2024
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