Doctor Name: | KIMBERLY R HANSON |
NPI Number: | 1144300922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 081312 |
Business Practice Address: | 720 Kenyon Rd Fort Dodge, IA - 505015759 |
Business Phone Number: | 5159557171 |
Business Fax Number: | 5155737898 |
Mailing Address: | 720 Kenyon Rd, FORT DODGE |
State: | IA |
Postal Code: | 505015759 |
Phone Number: | 5159557171 |
Fax Number: | 5155737898 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 081312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |