Individual
MRS. NICOLE KAELA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3840 RUCKRIEGEL PKWY STE 105, LOUISVILLE, KY 40299-6836
(502) 261-7227
(502) 261-7157
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 559-9407
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60459
KY
Other
Enumeration date
05/20/2019
Last updated
09/16/2025
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