Provider Demographics
NPI:1457388555
Name:HANSEN, KRIS HYER (DC)
Entity Type:Individual
Prefix:DR
First Name:KRIS
Middle Name:HYER
Last Name:HANSEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N 200 E
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3010
Mailing Address - Country:US
Mailing Address - Phone:435-652-8380
Mailing Address - Fax:435-674-5919
Practice Address - Street 1:301 N 200 E
Practice Address - Street 2:SUITE 1D
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3010
Practice Address - Country:US
Practice Address - Phone:435-652-8380
Practice Address - Fax:435-674-5919
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1764601202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT005579602Medicare ID - Type UnspecifiedMEDICARE
UTU54068Medicare UPIN