Mr. Keith J Hacker, PA
Mr. Keith J Hacker, PA is a Physician Assistant in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1777 W Grand AvePort Washington, WI 53074-2077
Phone: (262) 284-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 523 (WI) |
|---|
Record details
| NPI number | 1952508400 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | June 28, 2007 |
| Last updated in NPPES | November 23, 2021 |
| Certification date | November 23, 2021 |
| Mailing address | 1777 W Grand Ave, Port Washington, WI 53074-2077 |
Other providers in Port Washington
-
Jessica Kristine Conmey, PA-C
1329 W Grand Ave Ste 4, Port Washington, WI 53074-2010 · (262) 536-4344
-
Courtney Jory Cowen
652 N Sauk Dr, Port Washington, WI 53074-1535 · (262) 685-7338
-
Kaylee Doll
3135 Green Bay Rd, Port Washington, WI 53074-9772 · (262) 483-6317
-
MS. Anjuli Marie Tuscano, PA-C
1777 W Grand Ave, Port Washington, WI 53074-2077 · (262) 284-3456