Individual
KAREN M HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1230 E MAIN STREET, MANKATO CLINIC AT MAIN STREET, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
PO BOX 8674, 1230 E MAIN ST MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9015
MN
363AM0700X
Medical Physician Assistant
9015
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37M55PE
BCBS
MN
05
—
798407000
—
MN
01
—
HP79084
HEALTHPARTNERS
MN
Enumeration date
02/28/2007
Last updated
07/10/2020
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