Individual
DR. KEITH L HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1720 CENTRAL AVE E, HAMPTON, IA 50441-1869
(641) 456-5050
(641) 456-5060
Mailing address
1720 CENTRAL AVE E, HAMPTON, IA 50441-1869
(641) 456-5050
(641) 456-5060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1477
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18947
WELLMARK
IA
05
—
6090258
—
IA
Enumeration date
09/24/2006
Last updated
09/01/2020
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