Individual
KIMBERLY FAYETTE JEAN HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 721-2070
(910) 721-2074
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 721-2070
(910) 721-2074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2013-01824
NC
207Q00000X
Family Medicine Physician
LL1391
SC
208M00000X
Hospitalist Physician
Primary
2013-01824
NC
Other
Enumeration date
06/14/2010
Last updated
05/13/2025
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