# MR. KEVAN RICHARD HANSEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194700575
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0301121 | NC | Yes |

## Other

- **Enumeration date:** 12/08/2005
- **Last updated:** 04/01/2021

## 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 |
