Individual provider · Type 1 NPI
Kelly Henson, PA
Medical Physician Assistant · Powderly, KY
NPI number
1093845570
Active
Practice location
1010 Medical Center Dr
Powderly, KY 42367-5463
Fax (270) 338-0229
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA1023 (KY) |
Medical Physician Assistant: Definition to come...
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About NPI 1093845570
Kelly Henson, PA's National Provider Identifier is 1093845570, issued on Mar 6, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Powderly, KY. The record was last updated on Dec 16, 2020.