Kimberly Lynn Hauner, NP - Nurse Practitioner in Lodi, CA

Kimberly Lynn Hauner, NP is a Nurse Practitioner - Pediatrics based in Lodi, California. Kimberly Lynn Hauner is licensed to practice in California (license number NP11149) and her current practice location is 1300 W Lodi Ave, Suite P, Lodi, California. She can be reached at her office (for appointments etc.) via phone at (209) 369-7493.

NPI number for Kimberly Lynn Hauner is 1295791432 and her current mailing address is 600 Coffee Rd, Modesto, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295791432.

Contact Information

Kimberly Lynn Hauner, NP
1300 W Lodi Ave, Suite P,
Lodi, CA 95242-3000
(209) 369-7493
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Lynn Hauner
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1300 W Lodi Ave, Lodi, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295791432
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 05/11/2010

Medical Identifiers

Medical identifiers for Kimberly Lynn Hauner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295791432NPI-NPPES
RN88842MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics NP11149 (California)Primary
163W00000XRegistered Nurse RN488842 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Lynn Hauner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Lynn Hauner, NP
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 524-1211
Kimberly Lynn Hauner, NP
1300 W Lodi Ave, Suite P,
Lodi, CA 95242-3000

Ph: (209) 369-7493

Reviews and Comments


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