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Individual

MR. KEVAN RICHARD HANSEL

Active
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Individual

MR. KEVAN RICHARD HANSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0301121
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030455058
HEALTHCARE SAVINGS
—
01
—
104250
UNITED HEALTHCARE
—
01
—
135A7
BCBS
NC
01
—
354567600
OWCP
—
01
—
611186890
HEALTHCARE SAVINGS
—
05
—
89135A7
—
NC
01
—
C9476
MEDCOST
—
01
—
C9965
MEDCOST
—
05
—
N0112A
—
SC
01
—
NC4940C
MEDICARE
NC
01
—
O104246
UNITED HEALTHCARE
—
01
—
P01403705
MEDICARE RR
NC
Enumeration date
12/08/2005
Last updated
04/01/2021
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