Individual
KACI DAWN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
510 RUBY DR, MADISONVILLE, KY 42431-2168
(270) 399-7900
(270) 399-7910
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070
(270) 691-8026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1148633
IN
363LF0000X
Family Nurse Practitioner
Primary
3016945
KY
Other
Enumeration date
10/04/2021
Last updated
11/08/2022
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