Individual
KENNETH GEORGE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
163 THOMAS JOHNSON DR STE H, FREDERICK, MD 21702-4673
(301) 694-9111
(301) 739-0402
Mailing address
1800 DUAL HWY STE 303, HAGERSTOWN, MD 21740-6648
(301) 739-0400
(301) 739-0402
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01467
MD
231H00000X
Audiologist
2201000526
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009451412
—
VA
Enumeration date
10/17/2006
Last updated
01/18/2019
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