SearchKentucky367500000X

Andrew Hanson

NPI 1578303111 · on the registry since 2024 · sole proprietor

Practice

Address
650 Joel Dr
Fort Campbell, KY 42223
Phone
(270) 798-8400
Organisation at this address
Us Army
Nashville Vamc
Department Of Defense
Ach Blanchfield-Ft Campbell
Blanchfiled Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
989

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163WC0200X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-29

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 Kentucky