# KEVIN ROBERT HENRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1932281276
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 334 | NC | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 05/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08073 | BCBS | NC |
| 01 | — | 1761781001 | CIGNA | NC |
| 01 | — | 248565 | MAMSI | NC |
| 01 | — | 27-02398 | UNITED HEALTHCARE | NC |
| 01 | — | 5846058 | AETNA | NC |
| 05 | — | 7908073 | — | NC |
| 01 | — | 9064 | PARTNERS | NC |