Kurt L Henn, PHARMD
Individual provider Active NPI Pharmacist · Wabasha, MN
NPI 1003040718 · NPPES record last updated May 8, 2009
Key facts
- NPI
- 1003040718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 115965 (MN)
- Practice address
- 1200 Grant Blvd W
Wabasha, MN 55981-1042 - Phone
- (651) 565-5562
- Fax
- (651) 565-5677
- NPI assigned
- May 8, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115965 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 115965 | MN | Yes |
Addresses
Primary practice location
1200 Grant Blvd W
Wabasha, MN 55981-1042
Mailing address
1200 Grant Blvd W
Wabasha, MN 55981-1042
Phone (651) 565-5562
Other providers in Wabasha, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.