Individual
KIMBERLY LOUISE HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-3000
(541) 412-2081
Mailing address
500 5TH ST, BROOKINGS, OR 97415-9702
(707) 382-2921
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA15015
CA
363A00000X
Physician Assistant
Primary
PA165753
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083656367
CURRY MEDICAL CENTER'S NPI
OR
01
—
1487696985
CURRY GENERAL HOSPITAL'S NPI
OR
05
—
500605015
—
OR
Enumeration date
11/03/2006
Last updated
11/14/2022
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