Dr. Kaitlin Delaney Henry, M.D.
Family Medicine in Springfield, IL. Individual provider (NPI-1).
NPI number1003136276
StatusActive
Last updated in NPPESMay 22, 2020
Details
- NPI
- 1003136276
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kaitlin Delaney Henry
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2010
- Certification date
- May 22, 2020
- Last updated
- May 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036133961 | IL | Yes |
Practice location
2200 Wabash AveSpringfield, IL 62704
Phone 217-528-7541
Mailing address
1025 S 6th StSpringfield, IL 62703-2403
Phone 217-528-7541
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