Individual
DR. KIPLING GAYLE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6212 W CHARLESTON BLVD, SUITE 100, LAS VEGAS, NV 89146-1163
(702) 877-6767
(702) 877-6434
Mailing address
6212 W CHARLESTON BLVD, SUITE 100, LAS VEGAS, NV 89146-1163
(702) 877-6767
(702) 877-6434
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
B-220
NV
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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