Kenneth G Hansen

NPI #1396091039 in Orem, Utah

Provider Information

NPI Number: 1396091039
Entity Type: Organization
Organization Name: Kenneth G Hansen
Primary Specialty: Chiropractor
Enumeration Date: Jul 31, 2012
Last Updated: Jul 31, 2012

Practice Location

Address: 218 E 800 S
City: Orem
State: Utah
ZIP Code: 84058-5008
Phone: (801) 225-2457

Authorized Official

Name: DR. KENNETH G HANSEN, D.C.
Title: OWNER
Phone: (801) 225-2457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Chiropractor	111N00000X	Primary

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