Individual
ALISON KAY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8915
(850) 883-8192
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2348
NE
207Q00000X
Family Medicine Physician
8565
NE
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2348
NE
Other
Enumeration date
06/18/2019
Last updated
05/29/2024
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