Provider Demographics
NPI:1770609992
Name:HANSEN, KIRA AVA (NP)
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:AVA
Last Name:HANSEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9269 CORNELL CIR STE 430
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-4141
Mailing Address - Country:US
Mailing Address - Phone:303-887-9943
Mailing Address - Fax:303-327-7304
Practice Address - Street 1:10099 RIDGEGATE PKWY
Practice Address - Street 2:CONIFER BUILDING, SUITE 430
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5531
Practice Address - Country:US
Practice Address - Phone:303-327-7300
Practice Address - Fax:303-327-7304
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO111856163W00000X
COAPN.0994561-NP208D00000X, 363L00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No163W00000XNursing Service ProvidersRegistered Nurse
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner