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NPI Code Detail

MEDICARE: KALENA HENSEY

MEDICARE:   KALENA  HENSEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist4516-26WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14516-026OTHERWIO.T TEMP LICENSE

General Provider Information

NPI Number : 1568581742
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALENA HENSEY
Provider Business Mailing Address
First Line : 1902 GULSETH STREET
Second Line :
City : MADISON
State : WI
Zip : 53704
Country : US
Telephone Number : 608-444-1938
Fax Number :
Provider Business Practice Location Address
First Line : 4502 MILWAUKEE ST
Second Line :
City : MADISON
State : WI
Zip : 53714-2133
Country : US
Telephone Number : 608-249-2137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 11/19/2013

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Directions to “ KALENA HENSEY ” Practice Location

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