Individual
KENNETH D HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3830 BEE RIDGE RD, STE 201, SARASOTA, FL 34233-1105
(941) 929-1039
(941) 929-1044
Mailing address
3830 BEE RIDGE RD, STE 201, SARASOTA, FL 34233-1105
(941) 929-1039
(941) 929-1044
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME58636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1115887
AETNA
FL
01
—
25341
BCBS
FL
05
—
376150900
—
FL
Enumeration date
12/22/2005
Last updated
01/10/2011
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