Hannah L King, PA

Individual provider Active NPI Medical Physician Assistant · Brandenburg, KY

NPI 1992465652 · NPPES record last updated Sep 21, 2023

Key facts

NPI
1992465652
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
PA2982 (KY)
Practice address
1010 Lawrence Street
Brandenburg, KY 40108-1401
Phone
(270) 422-3400
Fax
(270) 422-3473
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2982KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meade County Pediatrics PLLC Single Specialty Past
since Dec 26, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
363AM0700X PA2982 KY Yes

Addresses

Primary practice location

1010 Lawrence Street
Brandenburg, KY 40108-1401

Mailing address

1010 Lawrence Street
Brandenburg, KY 40108-1401
Phone (270) 422-3400

Other providers in Brandenburg, KY

All providers in Brandenburg, KY · Medical Physician Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.