| Ken Hansen MD PSC | |
|
1707 Cedar Grove Rd Ste 7 Shepherdsville KY 40165-8572 | |
| (502) 531-9200 | |
| (502) 531-9383 |
| Full Name | Ken Hansen MD PSC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1707 Cedar Grove Rd Ste 7, Shepherdsville, Kentucky |
| Authorized Official Name and Position | Kenneth Eric Hansen (PRESIDENT) |
| Authorized Official Contact | 5025319200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Hansen MD PSC 1707 Cedar Grove Rd Ste 7 Shepherdsville KY 40165-8572 Ph: (502) 531-9200 | Ken Hansen MD PSC 1707 Cedar Grove Rd Ste 7 Shepherdsville KY 40165-8572 Ph: (502) 531-9200 |
| NPI Number | 1326309857 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 06/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326309857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30498 (Kentucky) | Primary |
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