Provider Demographics
NPI:1992799738
Name:HENSCHEL, ALLISON C (MD)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:C
Last Name:HENSCHEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1425 NW BLUE PKWY
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5705
Mailing Address - Country:US
Mailing Address - Phone:816-524-3223
Mailing Address - Fax:816-525-2697
Practice Address - Street 1:821 SW LEMANS LN
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64082-4618
Practice Address - Country:US
Practice Address - Phone:816-524-3223
Practice Address - Fax:816-525-2697
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2003023661208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209257609Medicaid