Donna C Hankla, ARNP
Individual provider Active NPI Legal Medicine · Stanford, KY
NPI 1316979404 · NPPES record last updated Oct 31, 2007
Key facts
- NPI
- 1316979404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Legal Medicine 173000000X
- License
- 1805P (KY)
- Practice address
- 107 Metker TRL
Suite a
Stanford, KY 40484-1049 - Phone
- (606) 365-8338
- Fax
- (696) 365-8142
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1805P | KY | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Clinic Liberty, PLLC | Legal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 1805P | KY | Yes |
Addresses
Primary practice location
107 Metker TRL
Suite a
Stanford, KY 40484-1049
Mailing address
107 Metker TRL
Suite a
Stanford, KY 40484-1049
Phone (606) 365-8338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000382781 | Other | KY | BCBS |
| P00270558 | Other | KY | RAILROAD MEDICARE |
| 78001112 | Medicaid | KY |
Other providers in Stanford, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.