| Hansen Medical Group Psc | |
|
189 Outer Loop Louisville KY 40214-5544 | |
| (502) 636-8668 | |
| (502) 363-6533 |
| Full Name | Hansen Medical Group Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 189 Outer Loop, Louisville, Kentucky |
| Authorized Official Name and Position | Kenneth Eric Hansen (PRESIDENT) |
| Authorized Official Contact | 5023638668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hansen Medical Group Psc 189 Outer Loop Louisville KY 40214-5544 Ph: (502) 636-8668 | Hansen Medical Group Psc 189 Outer Loop Louisville KY 40214-5544 Ph: (502) 636-8668 |
| NPI Number | 1073629036 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073629036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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