Search › Utah › 207QS0010X
Kellen Hansen, D.O
NPI 1396007316 · on the registry since 2012
Practice
- Address
- 3401 N Center St Ste 100
Lehi, UT 84043 - Phone
- (801) 753-7770
- Fax
- (801) 753-7775
- Organisation at this address
- Aspen Heights Dental
Traverse Podiatry Inc.
Traverse Podiatry Inc.
Sportsmed Associates Llc
Creek Capital Ivory Ridge LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 205 N Tillotson Ave, Muncie, IN
- 12473 S Minuteman Dr, Draper, UT
- 12473 S Minuteman Dr, Draper, UT
- 3943 E Pony Express Pkwy Ste 210, Eagle Mountain, UT
Registry record
- Primary taxonomy
- 207QS0010X
207QS0010X
- Also registered as
- 207P00000X
207Q00000X
207Q00000X
390200000X - Licence states on file
- IN, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-21
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 Utah