IndividualActive
Mark Hanson, DO
NPI 1508601659 · Neuromusculoskeletal Medicine & OMM Physician · Kirksville, MO
Provider details
- NPI number
- 1508601659
- Entity type
- Individual
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 2024025782 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone: (660) 785-1400
Approximate (ZIP-level) locationGet directions
Mailing address
421 W Dodson St Apt B
Kirksville, MO 63501-4411
Registry dates
- Enumerated
- 2024-06-29
- Last updated
- 2024-06-29
- Certified
- 2024-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.