Provider Demographics
NPI:1073806410
Name:HANSON, KARL H JR (M D)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:H
Last Name:HANSON
Suffix:JR
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9703 OVERBROOK RD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-2309
Mailing Address - Country:US
Mailing Address - Phone:913-381-0548
Mailing Address - Fax:
Practice Address - Street 1:9703 OVERBROOK RD
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66206-2309
Practice Address - Country:US
Practice Address - Phone:913-381-0548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-12313207RH0003X
MO2004001947207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology