Whalio Doctors

NPI 1295730992

Kenneth Richard Hansen, OD

Practitioner Optometrist Ankeny, IA

Practice location

Address
311 N Ankeny Blvd, Ankeny, IA 50023-1711
Phone
(515) 964-1671
Fax
(515) 964-1714

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 01592 (IA)

Registry record

NPI
1295730992
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jun 2005
Record last updated
5 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.