Individual
MRS. KELSIE MAUREEN HANKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-3550
(323) 361-8052
Mailing address
3701 WILSHIRE BLVD, 600, LOS ANGELES, CA 90010-2804
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2013028848
MO
363LP0200X
Pediatric Nurse Practitioner
2013028848
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
95005406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780854208
—
MO
Enumeration date
03/12/2008
Last updated
01/20/2017
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