Individual
DR. ROBERT L HENLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 W R D MIZE RD, BLUE SPRINGS, MO 64014-2518
(816) 228-5900
Mailing address
PO BOX 414965, KANSAS CITY, MO 64141-4965
(913) 234-1350
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
105057
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206953911
—
MO
01
—
20702041
BCBS MO
MO
Enumeration date
08/15/2005
Last updated
01/18/2012
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