Doctor Name: | CASEY HANKINS |
NPI Number: | 1174958037 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | N.P. |
License Number: | 1-118992 |
Business Practice Address: | 1097 Industrial Pkwy Saraland, AL - 365713744 |
Business Phone Number: | 2513752270 |
Business Fax Number: | 2513752269 |
Mailing Address: | 2147 Riverchase Office Rd, BIRMINGHAM |
State: | AL |
Postal Code: | 352441836 |
Phone Number: | 2054038902 |
Fax Number: | 2054212109 |
NPI Enumeration Date: | 09/11/2013 |
NPI Last Update Date: | 01/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-118992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |