Individual
MR. MARK EDWARD HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7800
Mailing address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
186371
NC
367500000X
Certified Registered Nurse Anesthetist
27241
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051746
—
NC
Enumeration date
10/16/2006
Last updated
08/25/2024
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