Hansen Pain and Wellness
Organization Active NPI Pain Medicine Physician · Crestview Hills, KY
NPI 1235975749 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1235975749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- Legal business name
- HANSEN PAIN AND WELLNESS
- Practice address
- 340 Thomas More Pkwy Ste 260
Crestview Hills, KY 41017-5117 - Phone
- (859) 957-0700
- NPI assigned
- Jul 3, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Kendall E Hansen, MD
- Title
- Owner
- Phone
- (859) 957-0700
Practitioners 22
-
Kendall E. Hansen, M.D.
-
Kayce Danielle Daugherty, FNP-C
-
Kelsey Downton, APRN
-
Nikol Ellison, APRN
-
Theresa Furnish, ARNP
-
Shawn M. Jager, ARNP
-
Dawn Danette Peak, APRN
-
Charles Roberts, MD
-
Lisa M. Stroud, CNP
-
Yusuf Aref, M.D.
-
Morgan Renee Ball, APRN
-
David John Rosenfeld, M.D.
-
Timothy J. Kappes, PA-C
-
Robert J Klickovich, M.D.
-
Hammad Malik, M.D.
-
Sung K Min, M.D.
-
Jose J Rivera, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250114003046 | KY | Part B Supplier - Clinic/Group Practice | 7012445380 |
Receives reassigned benefits from 1 practitioner Practice locations: Crestview Hills, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician |
208VP0000X | Yes |
Addresses
Primary practice location
340 Thomas More Pkwy Ste 260
Crestview Hills, KY 41017-5117
Mailing address
340 Thomas More Pkwy Ste 260
Crestview Hills, KY 41017-5117
Phone (859) 957-0700
Other providers in Crestview Hills, KY
- Janet Dea Hackett
- Russell Hall
- Michael S Halpin
- Samantha Jo Handorf
- Hanger Prosthetics & Orthotics East Inc
- Kendall E. Hansen
- Kylie Harden
- Katelyn Marisa Harris
- Felicia Marie Hartwell
- Samer S Hasan
All providers in Crestview Hills, KY · Pain Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.