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Keith Henry
Military Health Care Provider in Charlotte, North Carolina
NPI 1811604853

Keith Henry is a Military Health Care Provider based in Charlotte, NC. Keith Henry practices in Charlotte, NC. The NPI Number for Keith Henry is 1811604853 and holds a License No. (North Carolina).

The current practice location address for Keith Henry is 301 S Mc Dowell Steets, Charlotte, NC and can be reached out via phone at 917-443-7459.

Location: 301 S Mc Dowell Steets, Charlotte, NC, 28204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811604853
Provider Name
Keith Henry
Credential
Provider Entity Type
Individual
Gender
Male
Address
301 S Mc Dowell Steets, Charlotte, NC, 28204
Phone Number
917-443-7459
Fax Number
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 S Mc Dowell Steets
City
Charlotte
State
North Carolina
Zip
28204
Phone Number
917-443-7459
Fax Number
person
Provider Business Mailing Address Details
Address
301 S Mc Dowell Steets
City
Charlotte
State
North Carolina
Zip
28204
Phone Number
917-443-7459
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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