Kevin D Hannah
Medical Specialty
Professional ID
- NPI: 1548244478
- PECOS ID: 3779510797
- Enrollment ID: I20141010000661
- Credential(MD, DO, DPM): CNA
- Medical School:
- Medical School Graduation Year: 2005
Hospital Service
- Hospital CCN1: 370112
- Business Name (LBN)1: Sequoyah County-city Of Sallisaw Hospital Authorit
Medical Practices
- Organization Name: Sequoyah County City Of Sallisaw Hospital Authority
- Group Practice ID assigned by PECOS: 1759282239
- Number of Group Practice member: 12
Location
- Address1: 213 E Redwood Hospital
- Address2:
- City: Sallisaw
- State: Oklahoma
- Zip Code: 74955
- Phone Number: (918)774-1100
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):