Individual
KERRY LEE HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7376 BUSINESS CENTER DR, SUITE A, AVON, IN 46123-8662
(317) 272-7887
(317) 272-7888
Mailing address
7376 BUSINESS CENTER DR, SUITE A, AVON, IN 46123-8662
(317) 272-7887
(317) 272-7888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01044494
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200140570B
—
IN
05
—
200140570C
—
IN
Enumeration date
10/06/2006
Last updated
07/06/2011
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