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

Individual provider Psychiatry Physician · NPI 1366654329

Dr. Kenneth Jay Headen, MD is a Psychiatry Physician in Greensboro, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

806 Summit Ave
Greensboro, NC 27405-7861
Phone: (336) 437-2354
Fax: (336) 279-1226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 9400266 (NC)

Record details

NPI number1366654329
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESJune 29, 2015

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