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Individual

KATHRYN M HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
652 E WASHINGTON ST UNIT 2, NORTH ATTLEBORO, MA 02760-2488
(508) 576-5010
(508) 213-3685
Mailing address
652 E WASHINGTON ST UNIT 2, NORTH ATTLEBORO, MA 02760-2488
(508) 576-5010
(508) 213-3685

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
227930
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000033330
BMC HEALTHNET
MA
01
494762
TUFTS
MA
01
AA62514
HPHC
MA
Enumeration date
07/20/2006
Last updated
05/16/2022
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