Organization
KENDALL E HANSEN MD PLC
Active
Other names
Interventional Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL E. HANSEN M.D. (M.D., PRESIDENT & CEO)
(859) 957-0700
Entity
Organization
Contact information
Practice address
340 THOMAS MORE PKWY., STE. 260, CRESTVIEW HILLS, KY 41017-5117
(859) 957-0700
(859) 957-0703
Mailing address
PO BOX 634, FLORENCE, KY 41022-0634
(859) 957-0700
(859) 957-0703
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
KY
208VP0014X
Interventional Pain Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65933624
—
KY
Enumeration date
06/15/2005
Last updated
03/05/2020
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