DR. Keith Layne Henson, DO

NPI #1023009412 in Boardman, Ohio

Provider Information

NPI Number
1023009412
Entity Type
Individual
Name
DR. Keith Layne Henson, DO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine
Credential
DO
Enumeration Date
Nov 3, 2005
Last Updated
Dec 6, 2011

Practice Location

Address
8401 MARKET STREET
Address 2
C/O MEDICAL STAFF OFFICE
State
Ohio
ZIP Code
44512
Phone
(330) 533-5699

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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