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Contact Information

KELLEN T HANSEN, DO
3401 N CENTER ST STE 100
LEHI, UT84043
 Phone: 801-753-7770
 Fax: 801-753-7775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KELLEN T HANSEN · (Male)

NPI Number 1396007316
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/14/2012
Last updated 11/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02004307A
  • UT License # 10266619-1204
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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