Kenneth C Hanson MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4301027519 Issued in MI

Legal business name

KENNETH C HANSON MD PC

Practice address

802 W King St
Suite Q
Owosso, MI 48867-2100

Phone

(989) 723-7619

Fax

(989) 723-0090

NPI assigned

Nov 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth C Hanson, MDNPI 1225140437

Title

Owner

Phone

(989) 723-7619

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Charles Hanson, MD

  • Gastroenterology Physician
  • Owosso, MI
  • NPI 1225140437
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881763753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W KING ST",
            "address_2": "SUITE Q",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672100",
            "telephone_number": "989-723-7619",
            "fax_number": "989-723-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W KING ST",
            "address_2": "SUITE Q",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672100",
            "telephone_number": "989-723-7619",
            "fax_number": "989-723-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C HANSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-723-7619",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301027519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "1007800511",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson Kellogg
• Morgan Kelly
• Patricia Kelly, LMSW
• Giselle Kendrick, LLMSW
• Brian James Kennedy, M.D.
• Jeffrey A Kepes, MD
• Kerry J. Lazenby, PLLC
• Linda Kay Ketchum, LPC
• Kashif Z Khan, M.D.
• Kamal Khorfan, MD

• Gastroenterology Physician in Owosso, MI
• Providers in Owosso, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.