Individual
MRS. KATHY JEAN HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
700 DIXIE RD, GREENEVILLE, TN 37743-5591
(423) 636-1628
Mailing address
700 DIXIE RD, GREENEVILLE, TN 37743-5591
(423) 636-1628
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000049073
TN
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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