Individual
KEVIN PAUL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
436 5TH AVENUE, KOTZEBUE, AK 99752
(907) 442-3321
Mailing address
P.O. BOX 710, KOTZEBUE, AK 99752
(907) 947-6543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
161666
AK
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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