Individual
MAGAN M HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 SEA HERO DR, ELIZABETHTOWN, KY 42701-9011
(270) 234-3944
Mailing address
4830 SHEPHERDSVILLE RD, ELIZABETHTOWN, KY 42701-9520
(270) 234-3944
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
50199134
KY
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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