MEDICARE: STEPHEN L HENSLEY MD

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
1	207V00000X	Obstetrics & Gynecology Physician	22371	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700840519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN L HENSLEY MD

Provider Business Mailing Address
First Line	:	PO BOX 635283
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-5283
Country	:	US
Telephone Number	:	859-912-6500
Fax Number	:	859-442-1501

Provider Business Practice Location Address
First Line	:	140 PLAZA DR
Second Line	:
City	:	COLD SPRING
State	:	KY
Zip	:	41076
Country	:	US
Telephone Number	:	859-442-1530
Fax Number	:	859-442-1501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	09/14/2018

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