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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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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