Individual
DARIS ANN HACKWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20375 W 151ST ST STE 409, OLATHE, KS 66061-7210
(913) 780-3388
(913) 780-3256
Mailing address
8551 BLUEJACKET ST, LENEXA, KS 66214-1656
(913) 341-7985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1502231
KS
Other
Enumeration date
03/28/2019
Last updated
06/06/2025
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