Individual provider · Type 1 NPI

Kyle Anthony Hansen-Gonzalez

Student in an Organized Health Care Education/Training Program · South Weymouth, MA

NPI number 1093699159 Active

Practice location

55 Fogg Rd
South Weymouth, MA 02190-2432

Call (781) 624-8168 Map

Mailing address

145 Harrison Ave
Boston, MA 02111-1802

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093699159

Kyle Anthony Hansen-Gonzalez's National Provider Identifier is 1093699159, issued on Aug 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Weymouth, MA. The record was last updated on May 24, 2026.