Individual
KEVIN W HENDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3109 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4361
(228) 809-5000
Mailing address
PO BOX 789, OCEAN SPRINGS, MS 39566-0789
(228) 818-0563
(228) 818-0519
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R867218
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08070835
—
MS
Enumeration date
08/08/2007
Last updated
08/08/2007
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