Provider Demographics
NPI:1316979404
Name:HANKLA, DONNA C (ARNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:C
Last Name:HANKLA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 METKER TRL
Mailing Address - Street 2:SUITE A
Mailing Address - City:STANFORD
Mailing Address - State:KY
Mailing Address - Zip Code:40484-1049
Mailing Address - Country:US
Mailing Address - Phone:606-365-8338
Mailing Address - Fax:696-365-8142
Practice Address - Street 1:107 METKER TRL
Practice Address - Street 2:SUITE A
Practice Address - City:STANFORD
Practice Address - State:KY
Practice Address - Zip Code:40484-1049
Practice Address - Country:US
Practice Address - Phone:606-365-8338
Practice Address - Fax:696-365-8142
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1805P173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000382781OtherBCBS
KYP00270558OtherRAILROAD MEDICARE
KY78001112Medicaid
KY00376002Medicare PIN
KY0988503Medicare PIN
KY000000382781OtherBCBS
KYS16432Medicare UPIN