person
Dr. Kelley Marie Henson, NP
Pediatric Nurse Practitioner in Cannon Afb, New Mexico
NPI 1205060415

Kelley Marie Henson is a Pediatric Nurse Practitioner based in Cannon Afb, NM and is specialized in Pediatrics. Kelley Marie Henson practices in Cannon Afb, NM and has the professional credentials of NP. The NPI Number for Kelley Marie Henson is 1205060415 and holds a License No. APN13239 (New Mexico).

The current practice location address for Kelley Marie Henson is 224 W D. L. Ingram Avenue, Cannon Afb, NM and can be reached out via phone at 757-225-6611.

Location: 224 W D. L. Ingram Avenue, Cannon Afb, NM, 88103
person
Provider Profile Details
NPI Number
1205060415
Provider Name
Kelley Marie Henson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
224 W D. L. Ingram Avenue, Cannon Afb, NM, 88103
Phone Number
757-225-6611
Fax Number
Provider Enumeration Date
05/04/2009
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1508825902 01 TN JAMES BATSON NPI
1512646 05 TN
1538173471 01 TN COOKEVILLE PEDIATRIC ASSOCIATES
1517710 05 TN
3897667 05 TN
institution
Provider Business Practice Location Address Details
Address
224 W D. L. Ingram Avenue
City
State
Zip
88103
Phone Number
757-225-6611
Fax Number
person
Provider Business Mailing Address Details
Address
224 W D. L. Ingram Avenue
City
State
Zip
88103
Phone Number
757-225-6611
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
APN13239 (Tennessee)
Definition
Definition to come...
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