Provider Demographics
NPI:1427439637
Name:HANBY, HILLERY
Entity type:Individual
Prefix:
First Name:HILLERY
Middle Name:
Last Name:HANBY
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 1:590 FARRINGTON HWY UNIT 210
Mailing Address - Street 2:PMB 125
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:92-831 MAKAKILO DR
Practice Address - Street 2:#27
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1396
Practice Address - Country:US
Practice Address - Phone:808-783-1778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver