Organization
HANSEN MEDICAL GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ERIC HANSEN MD PA (PRESIDENT)
(502) 363-8668
Entity
Organization
Contact information
Practice address
189 OUTER LOOP, LOUISVILLE, KY 40214-5544
(502) 636-8668
(502) 363-6533
Mailing address
189 OUTER LOOP, LOUISVILLE, KY 40214-5544
(502) 636-8668
(502) 363-6533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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