| Doctor Name: | KENNETH J HANSEL |
| NPI Number: | 1568647238 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 14775 |
| Business Practice Address: | 14406 Ne 20th Ave Vancouver, WA - 986861448 |
| Business Phone Number: | 5032617541 |
| Business Fax Number: | |
| Mailing Address: | 284 N X St, WASHOUGAL |
| State: | WA |
| Postal Code: | 986718521 |
| Phone Number: | 5032617541 |
| Fax Number: | |
| NPI Enumeration Date: | 12/31/2007 |
| NPI Last Update Date: | 03/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 14775 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |