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General NPI Number Information
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NPI Number | 1568314201
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Entity Type | Individual
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Provider Name | MELISSA KAY HENSON NP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 210 MARIE LANGDON DR
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City | MANCHESTER
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State | KY
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Zip | 40962-6388
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Country | US
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Telephone | 606-598-5104
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Fax |
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Provider Business Mailing Address
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Address Line | 169 DOOLITTLE RD
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City | ANNVILLE
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State | KY
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Zip | 40402-9605
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Country | US
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Telephone | 606-599-2455
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4049005
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License Number State | KY
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