Doctor Name: | GEORGE KEITH HENRY |
NPI Number: | 1932179090 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD063660L |
Business Practice Address: | 1011 W Baltimore Pike Suite 208 West Grove, PA - 193909446 |
Business Phone Number: | 6108692220 |
Business Fax Number: | 6108690550 |
Mailing Address: | 1011 W Baltimore Pike, Suite 208 WEST GROVE |
State: | PA |
Postal Code: | 193909446 |
Phone Number: | 6108692220 |
Fax Number: | 6108690550 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 01/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD063660L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |