Provider Demographics
NPI:1396278917
Name:HANSEN, EMILY NICOLE (DO)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:NICOLE
Last Name:HANSEN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MAIL STOP 1020
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-0348
Mailing Address - Fax:913-588-0593
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-1167
Practice Address - Country:US
Practice Address - Phone:913-588-3807
Practice Address - Fax:913-588-0593
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2025-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2020022445207QH0002X
KS05-44760207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine