NPI 1215943295

Kevin Matthew Hanks, DO

Practitioner Otolaryngology Physician Idaho Falls, ID

Practice location

Address: 1582 Elk Creek Drive, Idaho Falls, ID 83404
Phone: (208) 542-5414
Fax: (208) 552-2708

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 0-0401 (ID)

Other Otolaryngology providers in Idaho →

Registry record

NPI: 1215943295
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2006
Record last updated: 5 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.