| L Keith Hanson Pllc | |
|
520 W Indian Ave Brewster WA 98812 | |
| (509) 689-2525 | |
| (509) 689-3247 |
| Full Name | L Keith Hanson Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 520 W Indian Ave, Brewster, Washington |
| Authorized Official Name and Position | Melodie White (ADMINISTRATOR) |
| Authorized Official Contact | 5096892525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L Keith Hanson Pllc Po Box 337 Brewster WA 98812-0337 Ph: (509) 689-2525 | L Keith Hanson Pllc 520 W Indian Ave Brewster WA 98812 Ph: (509) 689-2525 |
| NPI Number | 1588623581 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588623581 | NPI | - | NPPES |
| 7124779 | Medicaid | WA |
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