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NPI Code Detail

MEDICARE: GEORGE KEITH HENRY MD

MEDICARE:   GEORGE KEITH HENRY  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
1207V00000XObstetrics & Gynecology PhysicianMD063660LPA
2174400000XSpecialistMD063660LPA

Other Identifiers

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

General Provider Information

NPI Number : 1932179090
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE KEITH HENRY MD
Provider Business Mailing Address
First Line : 455 WOODVIEW RD, SUITE 230
Second Line :
City : WEST GROVE
State : PA
Zip : 19390-9446
Country : US
Telephone Number : 610-869-2220
Fax Number : 610-869-6550
Provider Business Practice Location Address
First Line : 455 WOODVIEW RD, SUITE 230
Second Line :
City : WEST GROVE
State : PA
Zip : 19390-9446
Country : US
Telephone Number : 610-869-2220
Fax Number : 610-869-6550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 02/16/2022

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Directions to “ GEORGE KEITH HENRY MD” Practice Location

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