# KENDALL E HANSEN MD PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interventional Pain Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174528392
- **Authorized official:** KENDALL E. HANSEN M.D. (M.D., PRESIDENT & CEO)
- **Authorized official phone:** (859) 957-0700

## Contact information

- **Practice address:** 340 THOMAS MORE PKWY., STE. 260, CRESTVIEW HILLS, KY 41017-5117
- **Practice address phone:** (859) 957-0700
- **Practice address fax:** (859) 957-0703
- **Mailing address:** PO BOX 634, FLORENCE, KY 41022-0634
- **Mailing address phone:** (859) 957-0700
- **Mailing address fax:** (859) 957-0703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | KY | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | KY | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 03/05/2020