Henson, Keoni K

Henson, Keoni K is an sole proprietor health care provider with primary practice located at 1711 E Barnacle Ave , Apache Junction AZ 85119-3796. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Henson, Keoni K can be contacted via phone (775) 412-2351.

Contact Information

Primary practice address
1711 E Barnacle Ave Apache Junction AZ 85119-3796
Phone: (775) 412-2351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Arizona

Profile Details

NPI number 1356026819
LBN Legal business name Henson, Keoni K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2023
Last updated Jun 21st, 2023 - about 2 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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