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Individual
KIRK RICHARD HANSEN
Active
Individual
KIRK RICHARD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CH00001176
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106388
COMM HEALTH PLAN OF WA
WA
05
—
2015907
—
WA
01
—
49846
DEPT OF LABOR & INDUSTRIE
WA
Enumeration date
10/23/2006
Last updated
07/08/2007
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