Individual provider · Type 1 NPI

Kimberley J. Hansen, MD

Vascular Surgery Physician · Winston Salem, NC

NPI number 1467438085 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Fax (336) 716-6637

Mailing address

PO Box 344
Winston Salem, NC 27102-0344

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X25592 (NC)
Surgical Critical Care Physician 2086S0102X25592 (NC)
Vascular Surgery Physician Primary 2086S0129X25592 (NC)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1467438085

Kimberley J. Hansen, MD's National Provider Identifier is 1467438085, issued on Dec 15, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 12, 2010.