Individual
DR. KIMBERLY S HANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7469
KY
1223P0221X
Pediatric Dentistry
Primary
7469
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60002474
—
KY
Enumeration date
09/03/2006
Last updated
09/21/2012
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