person
Stephen D Hennessey, MD
General Practice Physician in Chehalis, Washington
NPI 1376544098

Stephen D Hennessey is a General Practice Physician based in Chehalis, WA. Stephen D Hennessey practices in Chehalis, WA and has the professional credentials of MD. The NPI Number for Stephen D Hennessey is 1376544098 and holds a License No. MD00025264 (Washington).

The current practice location address for Stephen D Hennessey is 2690 Ne Kresky Ave, Chehalis, WA and can be reached out via phone at 360-330-9595 and via fax at 360-330-9560. You can also correspond with Stephen D Hennessey through the mailing address at 2690 NE KRESKY AVE, CHEHALIS, WA - 98532-2412 (mailing address contact number: 360-330-9595).

Location: 2690 Ne Kresky Ave, Chehalis, WA, 98532-2412
person
Provider Profile Details
NPI Number
1376544098
Provider Name
Stephen D Hennessey
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2690 Ne Kresky Ave, Chehalis, WA, 98532-2412
Phone Number
360-330-9595
Fax Number
360-330-9560
Provider Enumeration Date
08/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1008874 05 WA
institution
Provider Business Practice Location Address Details
Address
2690 Ne Kresky Ave
City
State
Zip
98532-2412
Phone Number
360-330-9595
Fax Number
360-330-9560
person
Provider Business Mailing Address Details
Address
2690 Ne Kresky Ave
City
State
Zip
98532-2412
Phone Number
360-330-9595
Fax Number
360-330-9560
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD00025264 (Washington)
Definition
Definition to come...
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