Individual
RON D HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3120 N PLUM ST, HUTCHINSON, KS 67502-2918
(620) 662-2355
(620) 662-1102
Mailing address
3120 N PLUM ST, HUTCHINSON, KS 67502-2918
(620) 662-2355
(620) 662-1102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13293
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0262650001
DMERC
KS
05
—
100219150A
—
KS
Enumeration date
10/12/2005
Last updated
05/10/2011
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