Individual
PAUL C HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.C
Contact information
Practice address
998 S HIGHWAY 25 W, SUITE 1, WILLIAMSBURG, KY 40769-1692
(606) 549-1183
(606) 549-4900
Mailing address
998 S HIGHWAY 25 W, STE 1, WILLIAMSBURG, KY 40769-1692
(606) 549-1183
(606) 549-4900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA0000000153
TN
363AM0700X
Medical Physician Assistant
Primary
PA071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3677814
—
TN
05
—
9500025300
—
KY
Enumeration date
10/17/2006
Last updated
05/25/2016
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