Organization
KENNETH HENSCHEL, MD, LLC
Active
Other names
Kenneth Henschel, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HELEN CHOI (CREDENTIALING COORDINATOR)
(352) 901-6288
Entity
Organization
Contact information
Practice address
10123 US HIGHWAY 441, LEESBURG, FL 34788-3952
(352) 901-6288
Mailing address
10123 US HIGHWAY 441, LEESBURG, FL 34788-3952
(352) 426-5012
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012860100
—
FL
Enumeration date
01/31/2019
Last updated
03/06/2019
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