Individual
MATTHEW ALLAN HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2245 WINCHESTER AVE, ASHLAND, KY 41101-7848
(606) 408-2600
(606) 408-2605
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11772-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
3006582
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3091032
—
OH
05
—
3810019002
—
WV
05
—
7100144230
—
KY
01
—
P00901248
RR MEDICARE
OH
01
—
P00962937
RR MEDICARE
KY
Enumeration date
09/09/2010
Last updated
05/04/2015
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