Kelly R Hensley (NPI# 1265708713, PAC ID# 3274799606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265708713 |
| PAC ID by PECOS | 3274799606 |
| Professional Enrollment ID | I20120730000230 |
| Full Name | Kelly R Hensley |
| Organization Legal Name | NORTHEAST KINGDOM HUMAN SERVICES INC |
| Address |
181 Crawford Rd Derby VT 05829 |
| Phone Number | 8023346744 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941276703 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 471304 | NORTH COUNTRY HOSPITAL AND HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 181 Crawford Rd, Derby, VT 05829 | 8023346744 | NORTHEAST KINGDOM HUMAN SERVICES INC |
| Organization Legal Name | NORTHEAST KINGDOM HUMAN SERVICES INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elliot M Kaufman | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Carey J Brodzinski | Nurse Practitioner | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Sally Kathryn Mathieson | Nurse Practitioner | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Donna M Laurin | Clinical Social Worker | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Gianpaolo Bentivoglio | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Roanna L Bamford | Nurse Practitioner | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Craig R Vantuinen | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Richard D Edelstein | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Lorraine B Impey | Clinical Nurse Specialist | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Hillary Liddick | Nurse Practitioner | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Street Address |
181 CRAWFORD RD |
| City | DERBY |
| State | VT |
| Zip | 05829 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne C Lynch | Clinical Social Worker | Northeast Kingdom Human Services Inc | 181 Crawford Rd, Derby, VT 05829 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward H Stonebraker | Chiropractic | Stonebraker Family Chiropractic, 562 Main Street, Derby, VT 05829 |
| City | DERBY |
| Zip Code | 05829 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DERBY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly R Hensley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.