Individual
DR. KATHLEEN JOY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2024 CHESTNUT ST, MONTGOMERY, AL 36106-1111
(334) 440-3061
(334) 557-1057
Mailing address
2024 CHESTNUT ST, MONTGOMERY, AL 36106-1111
(334) 440-3061
(334) 557-1057
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
05/22/2024
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