Individual
KEVIN RAY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1920 ATHERHOLT RD, LYNCHBURG, VA 24501-1104
(434) 200-3000
Mailing address
111 WHEATLAND CT, LYNCHBURG, VA 24503-3359
(336) 970-0808
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024179099
VA
367500000X
Certified Registered Nurse Anesthetist
219307
NC
Other
Enumeration date
03/05/2010
Last updated
08/07/2022
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