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NPI Code Detail

MEDICARE: SARA KRISTINE HANSON AU.D.

MEDICARE: SARA KRISTINE HANSON AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist23002827AIN

General Provider Information

NPI Number : 1629751946
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA KRISTINE HANSON AU.D.
Provider Business Mailing Address
First Line : 1100 REID PKWY
Second Line :
City : RICHMOND
State : IN
Zip : 47374-1157
Country : US
Telephone Number : 765-935-8895
Fax Number :
Provider Business Practice Location Address
First Line : 1434 CHESTER BLVD
Second Line :
City : RICHMOND
State : IN
Zip : 47374-1947
Country : US
Telephone Number : 765-966-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2023
Last Update Date : 01/06/2026

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