Individual
HAYLEY SUZANNE GRAUE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-38991
KS
208000000X
Pediatrics Physician
2016014396
MO
208000000X
Pediatrics Physician
4301099903
MI
2080P0202X
Pediatric Cardiology Physician
04-38991
KS
2080P0202X
Pediatric Cardiology Physician
Primary
2016014396
MO
2080P0202X
Pediatric Cardiology Physician
4301099903
MI
Other
Enumeration date
04/10/2009
Last updated
08/02/2016
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