Individual provider · Type 1 NPI

Kelley Marie Henson, N.P.

Pediatric Nurse Practitioner · Cannon Afb, NM

NPI number 1205060415 Active

About NPI 1205060415

Kelley Marie Henson, N.P.'s National Provider Identifier is 1205060415, issued on May 4, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Cannon Afb, NM. The record was last updated on Jun 22, 2026.