Individual
DR. PAUL WILLARD HENLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 HARRODSBURG RD STE A120, LEXINGTON, KY 40504-3779
(859) 258-6784
(859) 258-6796
Mailing address
157 SHELBY COURT, RICHMOND, KY 40475
(865) 255-3777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
57032
KY
207R00000X
Internal Medicine Physician
57032
KY
208M00000X
Hospitalist Physician
57032
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100789960
—
KY
Enumeration date
04/25/2017
Last updated
12/27/2023
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