Kaleb D Hensley
Individual provider Active NPI Case Manager/Care Coordinator · Spencerville, OK
NPI 1982008298 · NPPES record last updated Oct 15, 2014
Key facts
- NPI
- 1982008298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- HC 66 Box 60
Spencerville, OK 74760-9410 - Phone
- (580) 212-9666
- NPI assigned
- Oct 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
HC 66 Box 60
Spencerville, OK 74760-9410
Mailing address
HC 66 Box 60
Spencerville, OK 74760-9410
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2014. 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.