Individual
MS. KRISTINE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 S HUNTINGTON AVE, DEPT. OF ORTHOPEDICS, JAMAICA PLAIN, MA 02130-4817
(857) 364-4600
(857) 364-2033
Mailing address
104 LANDSEER ST, APT. 1, WEST ROXBURY, MA 02132-3437
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
72
MA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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