Individual
CHRIS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
826 18TH ST, HOXIE, KS 67740-4371
(785) 675-3281
(785) 675-3840
Mailing address
PO BOX 167, HOXIE, KS 67740-0167
(856) 775-3281
(785) 675-3840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
639
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDA0280
—
AK
Enumeration date
02/13/2006
Last updated
11/12/2020
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