Individual
ELIZABETH KEELING HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2046 PETIT BOIS ST S, JACKSON, MS 39211-6709
(601) 981-0067
Mailing address
PO BOX 13708, JACKSON, MS 39236-3708
(601) 981-0067
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10776
MS
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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