Henry, Kenneth George

Henry, Kenneth George is an individual health care provider with primary practice located at 163 Thomas Johnson Dr Ste H , Frederick MD 21702-4673. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Henry, Kenneth George can be contacted via phone (301) 694-9111.

Contact Information

Primary practice address
163 Thomas Johnson Dr Ste H Frederick MD 21702-4673
Phone: (301) 694-9111
Fax: (301) 739-0402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201000526 Virginia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 01467 Maryland

Profile Details

NPI number 1689754012
LBN Legal business name Henry, Kenneth George
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jan 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689754012 NPPES
Virginia MEDICAID 009451412

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