Organization
KEVIN HANNAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HANNAH CRNA (PRESIDENT)
(479) 445-3393
Entity
Organization
Contact information
Practice address
11446 MOUNTAIN SPRING DR, FAYETTEVILLE, AR 72701-0422
(479) 445-3394
Mailing address
11446 MOUNTAIN SPRING DR, FAYETTEVILLE, AR 72701-0422
(479) 445-3394
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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