Individual
KEVIN HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPNP-PC
Contact information
Practice address
3814 AUBURN BLVD STE 72, SACRAMENTO, CA 95821-2123
(916) 426-1902
(916) 647-0156
Mailing address
2615 27TH ST, SACRAMENTO, CA 95818-2616
(610) 733-1211
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95017287
CA
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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