Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth J Headen MD PA

Organization Community/Behavioral Health Agency · NPI 1780935395

Kenneth J Headen MD PA is a Community/Behavioral Health Agency in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

806 Summit Ave 210A
Greensboro, NC 27405-7861
Phone: (336) 279-1227
Fax: (336) 279-1226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 9400266 (NC)

Record details

NPI number1780935395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Headen — Md/Ceo · (336) 279-1227
NPI enumeratedSeptember 21, 2012
Last updated in NPPESSeptember 21, 2012
Mailing address806 Summit Ave Ste 210a, Greensboro, NC 27405-7861

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