Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLEN TAGE HANSEN, D.O.
ActiveKELLEN TAGE HANSEN, D.O. is a Sports Medicine healthcare provider located in LEHI, Utah. NPI 1396007316 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · LEHI, UT
Registration Details
- NPI Number
- 1396007316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2012 (14.122783434403 yrs)
- Last Updated
- Nov 21, 2019
- Licenses
-
02004307A (IN)10266619-1204 (UT)02004307A (IN)10266619-1204 (UT)
Practice Information
- Address
-
3401 N CENTER ST STE 100LEHI, UT, 84043Browse UT providers · Browse ZIP 84043
- Phone
- 8017537770
- Fax
- 8017537775
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in LEHI, UT
| Name | Credential | NPI |
|---|---|---|
| AARON S ANDERSON | M.D. | 1730317348 |
| CURTIS A NIELSEN | D.O. | 1013237502 |
| CORY NELSON | D.O. | 1124339460 |
| JASON BRILL | — | 1467831966 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.