Kimberly Hackshaw
Student in an Organized Health Care Education/Training Program in New York, NY. Individual provider (NPI-1).
NPI number1245142124
StatusActive
Last updated in NPPESSep 17, 2026
Details
- NPI
- 1245142124
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Hackshaw
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2026
- Certification date
- Sep 17, 2026
- Last updated
- Sep 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY | Yes |
Practice location
550 1st AveNew York, NY 10016-6402
Phone 718-290-4038
Mailing address
4 Byrnes Ln WSayreville, NJ 08872-2214
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