Kevin Henry, MD

NPI 1063490183 · on the registry since 2006

Practice

Address: 5401 N Knoxville Ave
Suite 416
Peoria, IL 61614
Phone: (309) 692-7246
Fax: (309) 692-7226
Organisation at this address: Patti L Ally
C E Myers Md
Frank I Russo
Champion Fitness, Inc
Proctor Health Systems
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 64

Registry record

Primary taxonomy: 207LP2900X
207LP2900X
Also registered as: 207LP2900X
207L00000X
Licence states on file: NV, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois