Edward Kip Hensley
Plastic and Reconstructive Surgery
411 W 20th St
Merced
, California 95340-3713
Edward Kip Hensley
Plastic and Reconstructive Surgery
411 W 20th St
Merced
, California 95340-3713
(209) 722-9849
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Edward Kip Hensley
- 411 W 20th St
- Merced, CA
- Zip : 95340-3713
- Fax : (209) 722-9849
- Phone : (209) 722-8122
Second Address
- Edward Kip Hensley
- 411 W 20th St
- Merced, CA
- Zip : 95340-3713
- Fax : (209) 722-9849
- Phone : (209) 722-8122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | G43201 | CA |
National Provider Identifier
| NPI | 1073597852 |
|---|---|
| Provider Name | Edward Kip Hensley |
| First Address | Merced, CA 95340-3713 |
| Second Address | Merced, CA 95340-3713 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2005 |
| Last Update Date | 12/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G432010 | (05) | CA |
| F05935 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.