NPI 1003215047

David Henry

Practitioner Physician Assistant Cicero, IN

Practice location

Address: 1160 S Peru St, Cicero, IN 46034-9601
Phone: (317) 984-9311
Fax: (317) 984-9302
Mailing address: PO Box 843022, Kansas City, MO 64184-3022

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10001704A (IN)

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Registry record

NPI: 1003215047
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2014
Record last updated: 12 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.