Provider Demographics
NPI:1215565320
Name:SWAGERTY, HANNAH
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:SWAGERTY
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 1:1001 6TH AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-3248
Mailing Address - Country:US
Mailing Address - Phone:913-651-6565
Mailing Address - Fax:913-772-8806
Practice Address - Street 1:1001 6TH AVE STE 320
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-3248
Practice Address - Country:US
Practice Address - Phone:913-651-6565
Practice Address - Fax:913-772-8806
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0447942207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine