| Kenneth Henschel, Md | |
|
10123 Us Highway 441 Leesburg FL 34788-3952 | |
| (352) 901-6288 | |
| Not Available |
| Full Name | Kenneth Henschel, Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10123 Us Highway 441, Leesburg, Florida |
| Authorized Official Name and Position | Helen Choi (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3529016288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Henschel, Md 10123 Us Highway 441 Leesburg FL 34788-3952 Ph: (352) 426-5012 | Kenneth Henschel, Md 10123 Us Highway 441 Leesburg FL 34788-3952 Ph: (352) 901-6288 |
| NPI Number | 1003371378 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 03/06/2019 |
| Medicare PECOS PAC ID | 2466780960 |
|---|---|
| Medicare Enrollment ID | O20190821004203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003371378 | NPI | - | NPPES |
| 012860100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kenneth A Henschel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255376778 PECOS PAC ID: 4880685718 Enrollment ID: I20040524000299 |
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