Individual provider · Type 1 NPI

Kellie Anne Hansel, PA-C

Medical Physician Assistant · South Charleston, WV

NPI number 1952371320 Active

Practice location

4610 Kanawha Ave SW Ste 200
South Charleston, WV 25309-1367

Fax (304) 205-7739

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1080 (WV)
Medical Physician Assistant Primary 363AM0700X1080 (WV)

Medical Physician Assistant: Definition to come...

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About NPI 1952371320

Kellie Anne Hansel, PA-C's National Provider Identifier is 1952371320, issued on Jan 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in South Charleston, WV. The record was last updated on Mar 12, 2024.