Kentauria Henley, RD is a
Dietitian, Registered based in Hazlehurst, Mississippi. Kentauria Henley is licensed to practice in Mississippi (license number D2202) and her current practice location is
1020 Johnsons Ln, Hazlehurst, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 265-1014.
NPI number for Kentauria Henley is 1083353056 and her current mailing address is 1020 Johnsons Ln, Hazlehurst, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083353056.
Healthcare Provider's Profile
| Full Name | Kentauria Henley |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
|---|
| Location | 1020 Johnsons Ln, Hazlehurst, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083353056
- Provider Enumeration Date: 05/31/2022
- Last Update Date: 05/31/2022
Medical Identifiers
Medical identifiers for Kentauria Henley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083353056 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | D2202 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kentauria Henley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kentauria Henley, RD
1020 Johnsons Ln,
Hazlehurst, MS 39083-8601
Ph: (601) 265-1014 | Kentauria Henley, RD
1020 Johnsons Ln,
Hazlehurst, MS 39083-8601
Ph: (601) 265-1014 |
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