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Individual

KEVIN ROBERT HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6425 OLD PLANK RD, SUITE 109, HIGH POINT, NC 27265-3277
(336) 882-2070
(336) 882-2074
Mailing address
6425 OLD PLANK RD, SUITE 109, HIGH POINT, NC 27265-3277
(336) 882-2070
(336) 882-2074

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
334
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08073
BCBS
NC
01
1761781001
CIGNA
NC
01
248565
MAMSI
NC
01
27-02398
UNITED HEALTHCARE
NC
01
5846058
AETNA
NC
05
7908073
NC
01
9064
PARTNERS
NC
Enumeration date
10/19/2006
Last updated
05/05/2011
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