Individual
GAYLE HENNEKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2001 ANDERSON FERRY RD, CINCINNATI, OH 45238-3325
(513) 922-1200
(513) 922-2103
Mailing address
5582 HOFFMAN RD, MILFORD, OH 45150-9717
(513) 575-4236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000032
OH
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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