Provider Demographics
NPI:1225236565
Name:HENSLEY, KELLY DAWN (RN BSN)
Entity Type:Individual
Prefix:MISS
First Name:KELLY
Middle Name:DAWN
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 DEBORD RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9066
Mailing Address - Country:US
Mailing Address - Phone:740-663-4343
Mailing Address - Fax:
Practice Address - Street 1:1661 DEBORD RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9066
Practice Address - Country:US
Practice Address - Phone:740-663-4343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 305132163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse