Individual
MISS KELLI LYNN HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(800) 813-2000
Mailing address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
10033306
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
AP61161837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2185019
—
WA
Enumeration date
12/20/2019
Last updated
11/15/2024
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