Mr. Kelly Henry
Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
11 Upper Riverdale Rd Sw
Riverdale
, Georgia 30274
Mr. Kelly Henry
Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
11 Upper Riverdale Rd Sw
Riverdale
, Georgia 30274
(404) 604-6279
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About
Features
Specialties
- Nurse Practitioner - Neonatal
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Mr. Kelly Henry
- 272 W Mcintosh Rd
- Brooks, GA
- Zip : 30205-2113
- Phone : (404) 604-6279
Second Address
- Mr. Kelly Henry
- 11 Upper Riverdale Rd Sw
- Riverdale, GA
- Zip : 30274
- Phone : (770) 991-8000
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FAQs
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In what state does Mr. Kelly Henry practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | RN235639 | GA |
| N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN235639 | GA |
National Provider Identifier
| NPI | 1245724723 |
|---|---|
| Provider Name | Mr. Kelly Henry |
| First Address | Brooks, GA 30205-2113 |
| Second Address | Riverdale, GA 30274 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2018 |
| Last Update Date | 13/11/2018 |
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.