Individual
JOHN R HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12330 METCALF AVE, SUITE 500, OVERLAND PARK, KS 66213-1324
(913) 491-1616
(913) 491-8061
Mailing address
12330 METCALF AVE, SUITE 500, OVERLAND PARK, KS 66213-1324
(913) 491-1616
(913) 491-8061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0429103
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100400020A
—
KS
05
—
100400020B
—
KS
01
—
101157
BLUE CROSS BLUE SHIELD
KS
01
—
7703264
AETNA
KS
01
—
D05F416
MEDICARE
—
Enumeration date
08/04/2006
Last updated
01/27/2022
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