Organization
AVON PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY L HENSLEY M.D. (OWNER)
(317) 272-7887
Entity
Organization
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
—
200140570
—
IN
Enumeration date
05/09/2007
Last updated
12/23/2008
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