KENNY E. HANNA JR. (NPI# 1629283510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629283510 |
| Entity Type | Individual |
| Full Name | KENNY E. HANNA JR. |
| Credential | MD |
| Practice Address |
319 S Brand Blvd Glendale CA 91204-1701 |
| Mailing Address |
8545 W Warm Springs Rd Ste A4-343 Las Vegas NV 89113-3676 |
| Practice Telephone | 8182400006 |
| Practice Fax Number | 8182400038 |
| Mailing Fax Number | 7029338671 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
C15029 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
14660 | NV | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7140 Smoke Ranch Rd Ste 150, Las Vegas, NV 891283157 | 7023208111 | 7023208112 |
| 1241 S Glendale Ave Ste 201, Glendale, CA 912053388 | 8186020004 |
| Street Address |
319 S BRAND BLVD |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699749093 | Samir Farah Daher | Chiropractor | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2006-02-14 |
| 1144877952 | Best Pacific Md Group Inc | Pathology | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2019-08-26 |
| 1902209992 | Pacific Health Medical Group | Clinic/Center | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2014-10-03 |
| 1366880692 | Kristine Astvatsaturyan | Pathology | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2013-06-09 |
| 1629335492 | Aiz Inc | Surgery | 319 S Brand Blvd, Glendale, CA 91204-1701 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851669592 | Nehzat Nikakhtar Md Inc | Surgery | 24462 Hawthorne Blvd, Torrance, CA 90505-6507 | 2011-12-08 |
| 1306133699 | Nicholas Manes Caggiano | Surgery | 862 Meinecke Ave Ste 100, San Luis Obispo, CA 93405 | 2011-07-07 |
| 1790005304 | Soar Surgery Center, LLC | Surgery | 1849 Bayshore Hwy, Burlingame, CA 94010-1215 | 2010-06-04 |
| 1730410747 | Mark Slonim | Surgery | 5610 Caminito Genio, La Jolla, CA 92037-7167 | 2010-01-15 |
| 1780822171 | Katherine Janice Fu | Surgery | 35400 Bob Hope Dr Ste 201, Rancho Mirage, CA 92270 | 2009-01-23 |
| 1801000815 | Frederick Abruzzo | Surgery | 1447a Stevenson St, San Francisco, CA 94103-2424 | 2007-05-09 |
| 1730305178 | Hongshik Han Md Inc | Surgery | 7005 N Maple #108, Fresno, CA 93720 | 2007-04-17 |
| 1356461651 | Jonathan F Cook, Md Inc | Surgery | 1334 W. Covina Bl., # 204, San Dimas, CA 91773 | 2007-03-30 |
| 1952469983 | Robert Ellis Markison | Surgery | 2000 Van Ness Avenue, Suite 204, San Francisco, CA 94109-3017 | 2006-12-04 |
| 1306868328 | Randal John Vecchione | Surgery | 2542 2nd Ave, San Diego, CA 92103-6537 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.