Individual
KEITH HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S MC DOWELL STEETS, SUITE125-1572, CHARLOTTE, NC 28204
(917) 443-7459
Mailing address
301 S MC DOWELL ST, SUITE#125, CHARLOTTE, ND 28204
(917) 443-7459
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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