Doctor Name: | KEITH A HANSEN |
NPI Number: | 1023014719 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4416 |
Business Practice Address: | 1500 W 22nd St Ste 102 Sioux Falls, SD - 571051503 |
Business Phone Number: | 6053287700 |
Business Fax Number: | 6053287775 |
Mailing Address: | Po Box 5074, SIOUX FALLS |
State: | SD |
Postal Code: | 571175074 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/27/2005 |
NPI Last Update Date: | 06/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VE0102X |
License Number: | 4416 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Reproductive Endocrinology |
Taxonomy Definition: | An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |