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Individual

TIMOTHY SCOTT HENSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 234-8572
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 234-8572

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1087769
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30605018
KY
Enumeration date
02/14/2007
Last updated
07/08/2007
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