Hansen, Keith A

Hansen, Keith A is an individual health care provider with primary practice located at 1500 W 22Nd St Ste 102, Sioux Falls SD 57105-1503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Hansen, Keith A can be contacted via phone (605) 328-7700.

Contact Information

Primary practice address
1500 W 22Nd St Ste 102 Sioux Falls SD 57105-1503
Phone: (605) 328-7700
Fax: (605) 328-7775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 4416 South Dakota

Profile Details

NPI number 1023014719
LBN Legal business name Hansen, Keith A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Mar 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023014719 NPPES
South Dakota MEDICAID 6201153

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