Individual
DR. MICHAEL ALAN HATTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1169-3
KS
152WC0802X
Corneal and Contact Management Optometrist
1169-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004371840002
—
KS
01
—
5158
BLUE CROSS BLUE SHIELD KS
KS
Enumeration date
05/06/2006
Last updated
04/05/2024
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