Henson, Kenneth I
Henson, Kenneth I is an individual health care provider with primary practice located at 8650 Sudley Road # 206, Manassas VA 20110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Henson, Kenneth I can be contacted via phone (703) 368-9234.Contact Information
Primary practice address
8650 Sudley Road # 206
Manassas VA 20110
Phone: (703) 368-9234
Fax: (703) 368-0505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101049560 | Virginia |
Profile Details
| NPI number | 1205868338 |
|---|---|
| LBN Legal business name | Henson, Kenneth I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205868338 | NPPES |
| Virgin Islands | Other | 210992 | ANTHEM BCBS |
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