Healthcare Provider Details

I. General information

NPI: 1487582102
Provider Name (Legal Business Name): ABIGAIL MARIE HENSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBY MARIE HENSIN

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 CAVALIER BLVD STE 230
FLORENCE KY
41042-3967
US

IV. Provider business mailing address

90 HOWARD DR
SHELBYVILLE KY
40065-8138
US

V. Phone/Fax

Practice location:
  • Phone: 859-279-0143
  • Fax:
Mailing address:
  • Phone: 502-233-9074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: