Keith Layne Henson DO

NPI 1023009412 - Internal Medicine - 207R00000X

NPI Details
NPI 1023009412
Gender Male
Enumeration Date 11/03/2005
Last Updated 12/06/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
8401 MARKET STREET
C/O MEDICAL STAFF OFFICE
BOARDMAN OH, 44512, US
Phone (330) 533-5699
Fax (330) 702-1144
Business Location
PO BOX 3611
BOARDMAN OH, 44513-3611, US
Phone (330) 533-5699
Fax (330) 702-1144
Toxanomy
Taxonomy Code 207R00000X
License State Ohio
License Number 34-00-3554
Remove 1023009412 NPI Number
 

According to our database, Dr. Keith Layne Henson DO NPI is 1023009412, taxonomy code is 207R00000X and license number is 34-00-3554, license state is located at Ohio. Keith Layne Henson DO physically located at 8401 Market Street, Boardman OH, 44512. NPI Number Keith Layne Henson DO has the Individual type.

Sponsored links

1023009412 NPI number is provided on an as is basis without warranty of any kind. 1023009412 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Layne Henson DO are for informational purposes only.