Individual
KENNY E. HANNA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 S BRAND BLVD, GLENDALE, CA 91204-1701
(818) 240-0006
(818) 240-0038
Mailing address
8545 W WARM SPRINGS RD STE A4-343, LAS VEGAS, NV 89113-3676
(702) 933-8671
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
14660
NV
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
C15029
CA
Other
Enumeration date
05/14/2007
Last updated
03/23/2019
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