Individual
MRS. KIMBERLY KAY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 NTH 10TH STREET, CENTRAL POINT, OR 97502
(541) 734-3953
Mailing address
1027 N 10TH ST, CENTRAL POINT, OR 97502-2173
(541) 734-3953
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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