Hansen, Kenneth Richard

Hansen, Kenneth Richard is an sole proprietor health care provider with primary practice located at 311 N Ankeny Blvd , Ankeny IA 50023-1711. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hansen, Kenneth Richard can be contacted via phone (515) 964-1671.

Contact Information

Primary practice address
311 N Ankeny Blvd Ankeny IA 50023-1711
Fax: (515) 964-1714
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 01592 Iowa

Profile Details

NPI number 1295730992
LBN Legal business name Hansen, Kenneth Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Feb 5th, 2013 - about 11 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 1295730992 NPPES
Iowa Other 14296 BLUE CROSS BLUE SHIELD
Iowa Other 1306056510 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 1142968 BLUE CROSS BLUE SHIELD
Iowa Other 204163573 BLUE CROSS BLUE SHIELD
Iowa Other 5648350001 BLUE CROSS BLUE SHIELD
Iowa Other DE6338 BLUE CROSS BLUE SHIELD

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