Organization
AMY D HENSON OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY DENISE HENSON OD (OWNER)
(606) 330-0946
Entity
Organization
Contact information
Practice address
1360 WILLIE CHEEK RD, LONDON, KY 40744-7445
(606) 330-0946
(606) 330-0946
Mailing address
1360 WILLIE CHEEK RD, LONDON, KY 40744-7445
(606) 330-0946
(606) 330-0946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1574DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340891
ANTHEM
VA
Enumeration date
08/01/2007
Last updated
07/23/2008
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