Individual
KATHRYN E HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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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