Kimberlea D. Hankins
Individual provider Active NPI Developmental Therapist · Harrisburg, IL
NPI 1609031871 · NPPES record last updated Jul 27, 2008
Key facts
- NPI
- 1609031871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 5470 Mount Moriah Rd
Harrisburg, IL 62946-4077 - Phone
- (618) 926-6401
- NPI assigned
- Jul 27, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
5470 Mount Moriah Rd
Harrisburg, IL 62946-4077
Mailing address
5470 Mount Moriah Rd
Harrisburg, IL 62946-4077
Phone (618) 926-6401
Other providers in Harrisburg, IL
- Pamela Sue Grimes
- Ethan Thomas Grounds
- Megan Gulley I
- Han M Hanafy MDSC
- Han M Hanafy
- Elizabeth Mae Hardy
- Harris Frank LLC
- Harrisburg Cancer Center Inc
- Harrisburg Co School Dist 3
- Harrisburg Counseling Center LLC
All providers in Harrisburg, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2008. 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.