Individual
MEGAN R HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-8000
Mailing address
318 SANDALWOOD DR, HAYSVILLE, KS 67060-1046
(918) 327-1543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1501024
KS
363A00000X
Physician Assistant
Primary
1913
NE
363A00000X
Physician Assistant
52043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200329670C
—
KS
Enumeration date
07/21/2006
Last updated
05/12/2015
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