Henson, Kenneth I

Henson, Kenneth I is an individual health care provider with primary practice located at 8650 Sudley Road # 206, Manassas VA 20110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Henson, Kenneth I can be contacted via phone (703) 368-9234.

Contact Information

Primary practice address
8650 Sudley Road # 206 Manassas VA 20110
Phone: (703) 368-9234
Fax: (703) 368-0505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101049560 Virginia

Profile Details

NPI number 1205868338
LBN Legal business name Henson, Kenneth I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205868338 NPPES
Virgin Islands Other 210992 ANTHEM BCBS

Popular Providers