Henson, Kelley Marie

Henson, Kelley Marie is an individual health care provider with primary practice located at 224 W D. L. Ingram Avenue Bldg. 1408, Cannon Afb NM 88103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Henson, Kelley Marie can be contacted via phone (757) 225-6611.

Contact Information

Primary practice address
224 W D. L. Ingram Avenue Bldg. 1408 Cannon Afb NM 88103
Phone: (757) 225-6611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN13239 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024169514 Virginia

Profile Details

NPI number 1205060415
LBN Legal business name Henson, Kelley Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2009
Last updated May 23rd, 2024 - about last year

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 1205060415 NPPES
Tennessee Other 1508825902 JAMES BATSON NPI
Tennessee MEDICAID 1512646 JAMES BATSON NPI
Tennessee Other 1538173471 JAMES BATSON NPI
Tennessee MEDICAID 1517710 JAMES BATSON NPI
Tennessee MEDICAID 3897667 JAMES BATSON NPI

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