Individual provider · Type 1 NPI
Stephen D. Hennessey, MD
General Practice Physician · Chehalis, WA
NPI number
1376544098
Active
Practice location
2690 NE Kresky Ave
Chehalis, WA 98532-2412
Fax (360) 330-9560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD00025264 (WA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1376544098
Stephen D. Hennessey, MD's National Provider Identifier is 1376544098, issued on Aug 3, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chehalis, WA. The record was last updated on Oct 31, 2022.