Organization
HENOCH MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLI HENOCH APRN FNP (CHIEF EXECUTIVE OFFICER)
(620) 278-6565
Entity
Organization
Contact information
Practice address
2236 GEORGE CT, SALINA, KS 67401-7898
(620) 278-6565
Mailing address
2236 GEORGE CT, SALINA, KS 67401-7898
(620) 278-6565
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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