Whalio Doctors

NPI 1063490183

Kevin M Henry, MD

Practitioner Pain Medicine (Anesthesiology) Physician Peoria, IL

Practice location

Address
5401 N Knoxville Ave Suite 416, Peoria, IL 61614-5098
Phone
(309) 692-7246
Fax
(309) 692-7226

Registered specialties (3)

Pain Medicine (Anesthesiology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 036114669 (IL)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 10492 (NV)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 036114669 (IL)

Registry record

NPI
1063490183
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jan 2006
Record last updated
10 Jan 2013

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.