Individual
MRS. KELCI MARIE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
755 HIGH ST, ADRIAN, MI 49221-1442
(517) 265-2422
(517) 264-5926
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(517) 265-2422
(517) 264-5926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007639
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841655503
—
MI
01
—
M35150161
MEDICARE PIN
MI
Enumeration date
12/23/2015
Last updated
11/03/2023
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