Individual
DR. KATHLEEN D. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
9 N WISCONSIN ST, ELKHORN, WI 53121-1737
(262) 949-6407
Mailing address
1119 LARKDALE LN, ELKHORN, WI 53121-8907
(262) 949-6407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5190-12
WI
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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