Organization
INTO THE OUT MOBILE PEDIATRIC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ANN HENSLEY APRN (MEMBER/ MANAGING MEMBER)
(606) 562-5212
Entity
Organization
Contact information
Practice address
211 HICKORY RIDGE ESTATES RD, COLDIRON, KY 40819
(606) 562-5212
Mailing address
PO BOX 50, HARLAN, KY 40831-0050
(606) 562-5212
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
Update your record
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