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

Mr. Kevin M Henry, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1063490183

Mr. Kevin M Henry, MD is a Pain Management in Peoria, Illinois. Graduated from Wayne State University School of Medicine in 1998, 28 years ago. Practices with Pain Institute of Southern Arizona Pisa PC, a 24-clinician group and accepts Medicare assignment. Licensed in Illinois and Nevada.

Years since qualifying
28
Trained at
Wayne State University School of Medicine
Licensed in
IL, NV
In the registry since
2006
Specialties on file
3
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

5401 N Knoxville Ave Ste 416
Peoria, IL 61614-5098
Phone: (309) 692-7246
Fax: (309) 692-7226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 036114669 (IL)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 10492 (NV)
Anesthesiology Physician Taxonomy 207L00000X · Licence 036114669 (IL)

Record details

NPI number1063490183
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 9, 2006
Last updated in NPPESJanuary 10, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Pain Institute Of Southern Arizona Pisa Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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