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1598817785
KEITH JOHN HENSON
LOUISVILLE, KY
NPI
1598817785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 004602)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
Mr. KEITH JOHN HENSON
4331 CHURCHMAN AVE SUITE 102
LOUISVILLE, KY 40215-1164
Phone number: 502-366-1773
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Mailing Address
Mr. KEITH JOHN HENSON
403 N MILES ST
ELIZABETHTOWN, KY 42701-1834
Phone number: 270-360-9129
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