KENT O HANSON MD LTD NPI 1174717136

NPI Information

  • NPI: 1174717136
  • Provider Name: KENT O HANSON, MD, LTD
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 2601 N 3RD ST
    SUITE #308
    PHOENIX, AZ
    ZIP 85004
  • Phone: (602) 264-5959

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NPI Details

KENT O HANSON, MD, LTD is a clinic center in Phoenix, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KENT O HANSON, MD, LTD NPI is 1174717136. The provider is registered as an organization entity type.

The provider's business location address is:

2601 N 3RD ST
SUITE #308
PHOENIX, AZ
ZIP 85004-104
Phone: (602) 264-5959
Fax: (602) 279-7433

The provider's authorized official is Kent Oscar Hanson .
The authorized official title is Owner and has the following contact phone number (602) 264-5359.

The enumeration date for this NPI number is 9/4/2007 and was last updated on 9/4/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11Z7476OTHERARIZONAHEALTH NET
22784OTHERARIZONAAZ LICENSE
303D09311231OTHERARIZONACLIA
4AZ0015000OTHERARIZONABLUE CROSS BLUE SHIELD
5D36977MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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