Individual
MR. KENNETH HENKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Mailing address
419 VAN BUREN AVE, #1, OXFORD, MS 38655-3835
(843) 814-7736
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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