Individual
KENYA HANSPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8000
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24782
SC
207R00000X
Internal Medicine Physician
24782
SC
208M00000X
Hospitalist Physician
Primary
264837
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189206
MEDCOST
SC
01
—
20051871
SELECT HEALTH
SC
01
—
7068293
AETNA
SC
05
—
89066UK
—
NC
01
—
P01133062
RAILROAD MEDICARE
SC
05
—
T81710
—
SC
Enumeration date
02/01/2006
Last updated
06/18/2021
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