Individual
MR. KEVIN J HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
14850 LAKE HILLS BLVD, BELLEVUE, WA 98007-5800
(425) 957-4500
(425) 957-4600
Mailing address
14850 LAKE HILLS BLVD, BELLEVUE, WA 98007-5800
(425) 957-4500
(425) 957-4600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005073
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40180
L & I
WA
01
—
4286018
AETNA
WA
05
—
7081425
—
WA
01
—
HA1632
BLUE CROSS/BLUE SHIELD
WA
Enumeration date
08/29/2006
Last updated
07/08/2007
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