Organization
KEN HANSEN MD PSC
Active
Organization
KEN HANSEN MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ERIC HANSEN M.D. (PRESIDENT)
(502) 531-9200
Entity
Organization
Contact information
Practice address
1707 CEDAR GROVE RD STE 7, SHEPHERDSVILLE, KY 40165-8572
(502) 531-9200
(502) 531-9383
Mailing address
1707 CEDAR GROVE RD STE 7, SHEPHERDSVILLE, KY 40165-8572
(502) 531-9200
(502) 531-9383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30498
KY
Other
Enumeration date
05/31/2012
Last updated
06/20/2012
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