Provider Demographics
NPI:1629653241
Name:HENSLEY, KARA LEIGH (RN)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LEIGH
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:LEIGH
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3626 GRANT LINE RD
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-2298
Mailing Address - Country:US
Mailing Address - Phone:812-944-1377
Mailing Address - Fax:
Practice Address - Street 1:3626 GRANT LINE RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-2298
Practice Address - Country:US
Practice Address - Phone:812-944-1377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28253105C163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management