Tyler Henness

NPI #1588128482 in Paola, Kansas

Provider Information

NPI Number: 1588128482
Entity Type: Individual
Name: Tyler Henness
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 24, 2019
Last Updated: Jan 24, 2019

Practice Location

Address: 810 CHEROKEE CT
City: Paola
State: Kansas
ZIP Code: 66071-2112
Phone: (913) 909-3459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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