Individual
TARA HOPE HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 INDUSTRIAL PARK RD, GREENSBURG, KY 42743-1429
(270) 299-2286
Mailing address
310 INDUSTRIAL PARK RD, GREENSBURG, KY 42743-1429
(270) 299-2286
(270) 299-2157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41112
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100023460
—
KY
01
—
K018843
MEDICARE
KY
Enumeration date
11/16/2006
Last updated
04/26/2019
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