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Kevin Hanks, D.O

NPI 1215943295 · on the registry since 2006 · sole proprietor

Practice

Address: 1582 Elk Creek Drive
Idaho Falls, ID 83404
Phone: (208) 542-5414
Fax: (208) 552-2708
Organisation at this address: Ketamine Infusions Of Idaho
Altitude Sport & Spine Pllc
Snake River Hearing And Balance Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Otolaryngology Physician
207Y00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho