Provider Demographics
NPI:1790981819
Name:HANKS, KAREN DELANE (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:DELANE
Last Name:HANKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:TN
Mailing Address - Zip Code:38261-5625
Mailing Address - Country:US
Mailing Address - Phone:731-507-0707
Mailing Address - Fax:731-389-9446
Practice Address - Street 1:1509 S 1ST ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:TN
Practice Address - Zip Code:38261-5625
Practice Address - Country:US
Practice Address - Phone:731-507-0700
Practice Address - Fax:731-389-9446
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000048175207R00000X
TN48175207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty