Provider Demographics
NPI:1376397612
Name:HENSON, KAMEE LEIGH
Entity type:Individual
Prefix:
First Name:KAMEE
Middle Name:LEIGH
Last Name:HENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAMEE
Other - Middle Name:LEIGH
Other - Last Name:FETTERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1328 CARMEL CT
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-3276
Mailing Address - Country:US
Mailing Address - Phone:419-603-2500
Mailing Address - Fax:
Practice Address - Street 1:1328 CARMEL CT
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-3276
Practice Address - Country:US
Practice Address - Phone:419-603-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No347C00000XTransportation ServicesPrivate Vehicle