Individual
WISE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 GRAND BLVD APT 1107, KANSAS CITY, MO 64106-2451
(816) 831-5008
Mailing address
1103 GRAND BLVD APT 1107, KANSAS CITY, MO 64106-2451
(816) 831-5008
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MO
Other
Enumeration date
04/22/2025
Last updated
05/19/2025
About Stedi
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