Healthcare Provider Details

I. General information

NPI: 1427491299
Provider Name (Legal Business Name): KAY LYNN HENSLEY R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 MARKET STREET
EAGLE CO
81631
US

IV. Provider business mailing address

PO BOX 3177
EAGLE CO
81631-3177
US

V. Phone/Fax

Practice location:
  • Phone: 970-328-1311
  • Fax: 970-328-1317
Mailing address:
  • Phone: 970-328-1311
  • Fax: 970-328-1317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10050
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number13425
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: