Keneshia Henry, is a
Radiology - Diagnostic Ultrasound physician based in Carson, California. Keneshia Henry is licensed to practice in California (license number 139685) and her current practice location is 20700 Avalon Blvd Ste 190, Carson, California. She can be reached at her office (for appointments etc.) via phone at
(424) 340-2347.
NPI number for Keneshia Henry is 1780321497 and her current mailing address is Po Box 11369, Carson, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780321497.
Physician's Profile
| Full Name | Keneshia Henry |
|---|
| Gender | Female |
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| Speciality | Radiology - Diagnostic Ultrasound |
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| Location | 20700 Avalon Blvd Ste 190, Carson, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780321497
- Provider Enumeration Date: 05/14/2022
- Last Update Date: 11/21/2022
Medical Identifiers
Medical identifiers for Keneshia Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780321497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085U0001X | Radiology - Diagnostic Ultrasound | 139685 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keneshia Henry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keneshia Henry,
Po Box 11369,
Carson, CA 90749-1369
Ph: (424) 340-2347 | Keneshia Henry,
20700 Avalon Blvd Ste 190,
Carson, CA 90746-3708
Ph: (424) 340-2347 |
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