Individual
KRISTY ANN HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02714
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-02714
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
06/14/2013
Last updated
06/14/2013
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