Individual
DR. KELLEY MARIE HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
224 W D. L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103
(757) 225-6611
Mailing address
224 W D. L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103
(757) 902-7154
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024169514
VA
363LP0200X
Pediatric Nurse Practitioner
APN13239
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508825902
JAMES BATSON NPI
TN
05
—
1512646
—
TN
05
—
1517710
—
TN
01
—
1538173471
COOKEVILLE PEDIATRIC ASSOCIATES
TN
05
—
3897667
—
TN
Enumeration date
05/04/2009
Last updated
05/23/2024
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