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Organization

HEALTH & VITALITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN R HENSON M.D. (PRESIDENT)
(877) 378-4643
Entity
Organization

Contact information

Practice address
162 N HILLSIDE ST, WICHITA, KS 67214-4919
(316) 440-3639
(316) 440-3931
Mailing address
PO BOX 5000, LEBANON, TN 37088-5000
(877) 378-4643
(615) 547-9845

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6626691
KS

Other

Enumeration date
05/03/2012
Last updated
05/03/2012
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