Provider Demographics
NPI:1760829584
Name:HANLEY-KNUTSON, KATRYANA (MD)
Entity Type:Individual
Prefix:
First Name:KATRYANA
Middle Name:
Last Name:HANLEY-KNUTSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:400 W PUEBLO ST
Mailing Address - Street 2:SANTA BARBARA COTTAGE HOSPITAL,MEDICAL EDUCATION OFFICE
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-4353
Mailing Address - Country:US
Mailing Address - Phone:805-682-7111
Mailing Address - Fax:805-569-8358
Practice Address - Street 1:400 W PUEBLO ST
Practice Address - Street 2:SANTA BARBARA COTTAGE HOSPITAL,MEDICAL EDUCATION OFFICE
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105
Practice Address - Country:US
Practice Address - Phone:805-682-7111
Practice Address - Fax:805-569-8358
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD197182085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology