Provider Information for 1083236681
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
TAVINA HENSLEY
Sex: Female
NPI: 1083236681
Last Updated: 2024-04-22
Certification Date: 2024-04-22
Certification Date: 2024-04-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1083236681 | ||||||||
| Enumeration Date | 2020-05-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 125 S MAIN CROSS ST LOUISA, KY 41230-1065 United States Phone: 606-638-0938 | Fax: | ||||||||
| Primary Practice Address | 125 S MAIN CROSS ST LOUISA, KY 41230-1065 United States Phone: 606-638-0938 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|