Kimberly Dean Hansen, AT

NPI #1588019103 in Gilbert, Arizona

Provider Information

NPI Number: 1588019103
Entity Type: Individual
Name: Kimberly Dean Hansen, AT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: AT
Enumeration Date: May 2, 2016
Last Updated: May 2, 2016

Practice Location

Address: 1302 E VAUGHN AVE
City: Gilbert
State: Arizona
ZIP Code: 85234-1015
Phone: (480) 980-8740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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