KEITH LAYNE HENSON

BOARDMAN, OH
NPI1023009412
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OH  34-00-3554)
Enumeration Date2005-11-03
Last Update Date2011-12-06
Business Address
DR. KEITH LAYNE HENSON DO
8401 MARKET STREET C/O MEDICAL STAFF OFFICE
BOARDMAN, OH 44512
Phone number: 330-533-5699
Mailing Address
DR. KEITH LAYNE HENSON DO
PO BOX 3611
BOARDMAN, OH 44513-3611
Phone number: 330-533-5699