Keith Henry

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

301 S MC Dowell Steets
Suite125-1572
Charlotte, NC 28204

Phone

(917) 443-7459

NPI assigned

Oct 31, 2022

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1811604853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MC DOWELL ST",
            "address_2": "SUITE#125",
            "city": "CHARLOTTE",
            "state": "ND",
            "postal_code": "28204",
            "telephone_number": "917-443-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MC DOWELL STEETS",
            "address_2": "SUITE125-1572",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "917-443-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann C Henry, PT, DPT, ATC
• Bonnie Henry, MA
• Carolyn Henry
• Gace Renee Henry
• Hubert Henry Jr., LPCA
• Melissandre Henry, FNP
• Octavia Saari Henry
• Shamir La Henry
• Tiffany Cherlene Henry, MA, LPC, NCC
• David C Henshaw, PH.D.

• Military Health Care Provider in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Military Health Care Provider in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.