Hensley, Kerry Lee
Hensley, Kerry Lee is an sole proprietor health care provider with primary practice located at 7376 Business Center Dr Suite A, Avon IN 46123-8662. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hensley, Kerry Lee can be contacted via phone (317) 272-7887.Contact Information
Primary practice address
7376 Business Center Dr Suite A
Avon IN 46123-8662
Phone: (317) 272-7887
Fax: (317) 272-7888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01044494 | Indiana |
Profile Details
| NPI number | 1174610562 |
|---|---|
| LBN Legal business name | Hensley, Kerry Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 6th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174610562 | NPPES |
| Indiana | MEDICAID | 200140570C | |
| Indiana | MEDICAID | 200140570B |
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