Hanson, Kelly Rae

Hanson, Kelly Rae is an individual health care provider with primary practice located at 500 Highway 89 North , Prescott AZ 86313-5001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hanson, Kelly Rae can be contacted via phone (928) 445-4860.

Contact Information

Primary practice address
500 Highway 89 North Prescott AZ 86313-5001
Phone: (928) 445-4860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 295242 Arizona

Profile Details

NPI number 1467134569
LBN Legal business name Hanson, Kelly Rae
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2023
Last updated Aug 7th, 2023 - about 3 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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