Provider Demographics
NPI:1083212468
Name:KILHEFNER, HANNAH J
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:J
Last Name:KILHEFNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1156 DULIN DR
Mailing Address - Street 2:
Mailing Address - City:AMISSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20106-1908
Mailing Address - Country:US
Mailing Address - Phone:540-661-8131
Mailing Address - Fax:540-216-3178
Practice Address - Street 1:1156 DULIN DR
Practice Address - Street 2:
Practice Address - City:AMISSVILLE
Practice Address - State:VA
Practice Address - Zip Code:20106-1908
Practice Address - Country:US
Practice Address - Phone:540-661-8131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024180346363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health