Keith J. Hacker, P.A.
Physician Assistant · Port Washington, WI
UnclaimedP.A.NPI 1952508400
- Primary taxonomy
- 363A00000X
- Enumerated
- 2007-06-28
- Practice location
- Port Washington, WI
- Last NPPES update
- 2021-11-23
State licenses
- WI · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.