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Contact Information

KEVIN WADE HANSON
10138 W PAYSON RD
TOLLESON, AZ85353-8441
 Phone: 414-759-7445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Research Study

1744R1102X
 

Athletic Trainer

2255A2300X
 

Biochemist

246ZB0500X
 

Biomedical Engineering

246ZB0301X
 

Driver

172A00000X
Indicates primary specialty

NPI Profile & details for KEVIN WADE HANSON · (Male)

NPI # 1962113548
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2022
Last updated 01/04/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # D06300831
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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