Kimberly Jean Hanners, PA-C
Physician Assistant in Mesa, AZ. Individual provider (NPI-1).
NPI number1962057166
StatusActive
Last updated in NPPESApr 10, 2025
Details
- NPI
- 1962057166
- Entity type
- Individual (NPI-1)
- Name
- Miss Kimberly Jean Hanners
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2019
- Certification date
- Apr 10, 2025
- Last updated
- Apr 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11022 | AZ | Yes |
| 363A00000X | Physician Assistant | 141908 | MT | |
| 363A00000X | Physician Assistant | MA062451 | PA |
Other names
- Kimmi Jean Hanners (Professional Name)
Practice location
1066 N Power Rd Ste 101Mesa, AZ 85205-5709
Phone 480-807-0130
Mailing address
9661 E Tahoe CirMesa, AZ 85212-2192
Phone 479-276-0796
Other practice locations
801 N 29th St
Billings, MT 59101-0905
Billings, MT 59101-0905
Phone 406-238-2500
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All 472 Physician Assistant providers in Mesa · All 13,507 providers in Mesa
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