Kenneth E Henson, PA-C
Physician Assistant, Medical in Temple, TX. Individual provider (NPI-1).
NPI number1295744597
StatusActive
Last updated in NPPESMay 14, 2008
Details
- NPI
- 1295744597
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenneth E Henson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2006
- Last updated
- May 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
1901 S 1st StTemple, TX 76504-7451
Phone 254-743-0949
Mailing address
1901 Veterans Memorial DrTemple, TX 76504-7451
Phone 254-743-2485
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