Individual provider · Type 1 NPI

Keith Henry

Military Health Care Provider · Charlotte, NC

NPI number 1811604853 Active

Practice location

301 S Mc Dowell Steets, SUITE125-1572
Charlotte, NC 28204

Mailing address

301 S Mc Dowell St, SUITE#125
Charlotte, ND 28204

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1811604853

Keith Henry's National Provider Identifier is 1811604853, issued on Oct 31, 2022. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 31, 2022.