Organization
SELLERSBURG PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA KAY HENSLEY MD (OWNER)
(812) 246-0705
Entity
Organization
Contact information
Practice address
1730 WILLIAMSBURG DRIVE, SUITE 3, JEFFERSONVILLE, IN 47130-8065
(812) 246-0705
(812) 246-0710
Mailing address
1730 WILLIAMSBURG DRIVE, SUITE 3, JEFFERSONVILLE, IN 47130-8065
(812) 246-0705
(812) 246-0710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01043740A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200221960A
—
IN
Enumeration date
05/24/2007
Last updated
10/25/2024
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