Provider Demographics
NPI:1699292615
Name:HANNAH, KIRA (NP-C)
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:
Last Name:HANNAH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:KIRA
Other - Middle Name:
Other - Last Name:KITCHENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:711 N TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-2296
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:707 N IOWA ST
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2229
Practice Address - Country:US
Practice Address - Phone:970-642-8413
Practice Address - Fax:970-641-9017
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-127238363L00000X
COC-APN.0103211-C-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner