Kyle R Henneke
Kyle R Henneke is a Student in an Organized Health Care Education/Training Program in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2023.
- Licensed in
- KY
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
245 Fountain Ct Ste 215Lexington, KY 40509-2792
Phone: (859) 323-6861
Fax: (859) 323-1194
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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 R6812 (KY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1679277552 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 27, 2023 |
| Last updated in NPPES | September 5, 2024 |
| Certification date | September 5, 2024 |
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