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Kylie Hansen

NPI 1033028725 · on the registry since 2026 · sole proprietor

Practice

Address
1455 Bonniebrae Cir
Idaho Falls, ID 83404
Phone
(208) 201-3690

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho