Individual
DR. KURT SAMUEL HENSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 MALABAR RD NE, PALM BAY, FL 32907-2506
(321) 434-1401
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1401
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME98989
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279529900
—
FL
01
—
90316
BCBS OF FL
FL
01
—
AE765X
MEDICARE
FL
01
—
AE765Y
MEDICARE
FL
Enumeration date
08/09/2005
Last updated
07/06/2021
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