Most Relevant Information
Provider Data
| NPI Number: | 1003403114 |
| Provider Name: | TAYLOR HENSLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/22/2020 |
| Last Updated: | 12/22/2020 |
Provider Practice Location
1401 CHESTNUT ST
KENOVA
WV
255301235
Practice Location Phone/Fax
| Phone: | 3044532800 |
| Fax: | 3044532820 |
Provider Mailing Location
1401 CHESTNUT ST
KENOVA
WV
255301235
Provider Mailing Phone/Fax
| Phone: | 3044532800 |
| Fax: | 3044532820 |