Individual
DR. KEVIN P HENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14210 SCOTTSLAWN RD, MARYSVILLE, OH 43041-0001
(937) 578-4288
(937) 578-2642
Mailing address
14210 SCOTTSLAWN RD, MARYSVILLE, OH 43041-0001
(937) 578-4288
(937) 578-2642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35083208
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35-083208
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2511320
—
OH
Enumeration date
08/25/2005
Last updated
02/06/2024
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