Individual
KENNETH PAUL HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, BA
Contact information
Practice address
7570 US HIGHWAY 42, FLORENCE, KY 41042-2324
(859) 283-0707
(859) 647-3022
Mailing address
274 FAIRWAY DR, DRY RIDGE, KY 41035-8505
(859) 428-3731
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT508
KY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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