KEVIN MICHAEL HENRY (NPI# 1205032687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205032687 |
| Entity Type | Individual |
| Full Name | KEVIN MICHAEL HENRY |
| Credential | M.D. |
| Practice Address |
1235 8th St Las Vegas NM 87701-4219 |
| Mailing Address |
620 N. Coronado Ave. P.o. Box 158 Espanola NM 87532-0238 |
| Practice Telephone | 5054256788 |
| Practice Fax Number | 5054255408 |
| Mailing Telephone | 5057537218 |
| Mailing Fax Number | 5057535815 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2011-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD2010-0591 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | TRAINING | RS 2007-0308 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003280165 | Kevin Henry | Physical Therapy Assistant | 3420 Robin Rd, Manhattan, KS 66503-2218 | 2015-11-30 |
| 1033496906 | Kevin Joseph Henry | Specialist/Technologist | 1 Webster Ave Ste 400, Poughkeepsie, NY 12601-1363 | 2011-11-07 |
| 1578694170 | Kevin Charles Henry | Dentist | 7800 Ustick, Boise, ID 83704-5848 | 2007-03-08 |
| 1497816524 | Kevin E. Henry | Specialist | 2525 Desales Avenue, Chattanooga, TN 37404 | 2006-12-13 |
| 1932281276 | Kevin Robert Henry | Podiatrist | 6425 Old Plank Rd, Suite 109, High Point, NC 27265-3277 | 2006-10-19 |
| 1063490183 | Kevin M Henry | Anesthesiology | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2006-01-09 |
| 1750370508 | Kevin L Henry | Physician Assistant | 1635 N George Mason Dr, Arlington, VA 22205-3601 | 2005-10-14 |
| Street Address |
1235 8TH ST |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497901 | Yvonne D Vanarsdale-imani | Family Medicine | 1235 8th St, Las Vegas, NM 87701-4219 | 2005-06-16 |
| 1376157024 | Rose Marie Mcdonald | Nurse Practitioner | 1235 8th St, Las Vegas, NM 87701-4219 | 2020-09-01 |
| 1770195380 | Kelli Moore | Social Worker | 1235 8th St, Las Vegas, NM 87701-4219 | 2020-08-17 |
| 1427683549 | Francisca Cordova | Social Worker | 1235 8th St, Las Vegas, NM 87701-4219 | 2020-03-09 |
| 1821628306 | Jessica Turner | Social Worker | 1235 8th St, Las Vegas, NM 87701-4219 | 2020-01-23 |
| 1679122600 | Alba Melissa Weaver | Dentist | 1235 8th St, Las Vegas, NM 87701-4219 | 2019-09-11 |
| 1972151728 | Jesse Lee Baca | Counselor | 1235 8th St, Las Vegas, NM 87701-4219 | 2019-08-26 |
| 1295217818 | Laura Robinson | Family Medicine | 1235 8th St, Las Vegas, NM 87701-4219 | 2018-08-30 |
| 1972090629 | Nona A Collins | Social Worker | 1235 8th St, Las Vegas, NM 87701-4219 | 2018-04-18 |
| 1679929186 | Danyelle Romero | Nurse Practitioner | 1235 8th St, Las Vegas, NM 87701-4219 | 2016-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.