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Individual

KATHRYN E HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Mailing address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R031808
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1992978647
WELLMARK BCBS OF SD
SD
05
1992978647
MN
01
46022474348
NEBRASKA MEDICAID
NE
05
5755920
SD
01
9265597
DAKOTACARE
01
CH3740
RAILROAD MEDICARE GROUP PTAN
SD
01
P00643444
RAILROAD MEDICARE
SD
Enumeration date
04/02/2008
Last updated
12/23/2008
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