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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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