National Provider Identifier Database

KIMBERLEY J HANSEN, MD – NPI #1467438085
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Contact Information

KIMBERLEY J HANSEN, MD
MEDICAL CENTER BLVD
WINSTON-SALEM, NC  27157-0001
Phone: 336-716-2255
Fax: 336-716-6637
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X
Surgery 208600000X
Surgical Critical Care 2086S0102X

* Indicates primary specialty

NPI Profile & details for KIMBERLEY J HANSEN

NPI Number 1467438085
Credentials MD
Entity Individual
Enumeration date 12/15/2005
Last updated 11/12/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • NC License #: 25592
  • NC Medicaid: 8939084
  • SC Medicaid: Q25592
  • VA Medicaid: 7323158
  • WV Medicaid: 195448000
  • Other: 4418530 AETNA
  • Other: 39084 BCBS
  • Other: 24930 MEDCOST
  • Other: 11647 PARTNERS
Hospital affiliation n/a

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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