Individual
KELLY ELAINE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1327 S INTERSTATE DR STE B, CEDAR CITY, UT 84720-1258
(435) 590-3471
(435) 921-6620
Mailing address
871 E FIDDLERS CANYON RD, CEDAR CITY, UT 84721-7704
(435) 590-3471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9800937-4405
UT
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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