Individual
KIMBERLEY A HANNEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 HOSPITAL DR, SUITE 209, UKIAH, CA 95482-4568
(707) 463-7488
(707) 462-7846
Mailing address
260 HOSPITAL DR, SUITE 209, UKIAH, CA 95482-4568
(707) 463-7488
(707) 462-7846
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
036094217
IL
207QA0505X
Adult Medicine Physician
Primary
G136098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094217
—
IL
01
—
1043486731
HEALTH ALLIANCE
IL
01
—
1326041229
MEDICARE GROUP NPI
IL
01
—
216239
MEDICARE GROUP PTAN
IL
Enumeration date
08/30/2006
Last updated
08/26/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us