Hansberry, Kristen O

Hansberry, Kristen O is an individual health care provider with primary practice located at 7801 E Bush Lake Rd Ste 400 , Minneapolis MN 55439-3113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hansberry, Kristen O can be contacted via phone (952) 283-3162.

Contact Information

Primary practice address
7801 E Bush Lake Rd Ste 400 Minneapolis MN 55439-3113
Phone: (952) 283-3162
Fax: (866) 991-7241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38879 Minnesota

Profile Details

NPI number 1215936216
LBN Legal business name Hansberry, Kristen O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Aug 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215936216 NPPES
Minnesota Other 38879 MEDICAL LICENSE
Minnesota MEDICAID 961329300 MEDICAL LICENSE

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