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Individual

KEITH HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP-FNP

Contact information

Practice address
5825 PLANK RD STE 105, FREDERICKSBURG, VA 22407-5207
(540) 785-3448
Mailing address
5825 PLANK RD STE 105, FREDERICKSBURG, VA 22407-5207
(540) 785-3448

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0024177706
NC
208000000X
Pediatrics Physician
0024177706
VA
363LF0000X
Family Nurse Practitioner
Primary
0024177706
VA

Other

Enumeration date
06/15/2019
Last updated
10/28/2022
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