Individual
KEVIN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 COULTER RD, EMERGENCY DEPT, CLIFTON SPRINGS, NY 14432-1122
(315) 462-1451
(315) 462-2430
Mailing address
2 COULTER RD, CLIFTON SPRINGS HOSP & CLIN ATTN MEDICAL STAFF OFFICE, CLIFTON SPRINGS, NY 14432-1122
(315) 462-1464
(315) 462-2487
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
167836
NY
207R00000X
Internal Medicine Physician
167836
NY
Other
Enumeration date
07/31/2006
Last updated
05/30/2013
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