Henson, Derek K

Henson, Derek K is an individual health care provider with primary practice located at 1401 Harrodsburg Rd Suite A-510, Lexington KY 40504-3751. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Henson, Derek K can be contacted via phone (859) 258-6784.

Contact Information

Primary practice address
1401 Harrodsburg Rd Suite A-510 Lexington KY 40504-3751
Phone: (859) 258-6784
Fax: (859) 258-6796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30562 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 30562 Kentucky

Profile Details

NPI number 1629010699
LBN Legal business name Henson, Derek K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 3rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629010699 NPPES
Kentucky MEDICAID 64305626

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