Individual
DR. CHRISTOPHER DALE HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5129 DIXIE HWY STE 100, LOUISVILLE, KY 40216-1727
(502) 447-8786
(502) 447-8623
Mailing address
680 N LAKE SHORE DR STE 1000, NORTHWESTERN MEMORIAL HOSPITAL, CHICAGO, IL 60611-8709
(312) 472-0436
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
53172
KY
2085R0202X
Diagnostic Radiology Physician
TP635
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100626610
—
KY
Enumeration date
06/18/2008
Last updated
04/11/2022
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