Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL HENNELLY, MD
ActiveMICHAEL HENNELLY, MD is a Family Medicine healthcare provider located in JEMEZ PUEBLO, New Mexico. NPI 1871553933 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · JEMEZ PUEBLO, NM
Registration Details
- NPI Number
- 1871553933
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2006 (20.406201643961 yrs)
- Last Updated
- Sep 25, 2024
- License
-
75-167 (NM)
Practice Information
- Address
-
110 SHEEP SPRINGSJEMEZ PUEBLO, NM, 870240279Browse NM providers · Browse ZIP 87024
- Phone
- 5758347413
- Fax
- 5758347517
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in JEMEZ PUEBLO, NM
| Name | Credential | NPI |
|---|---|---|
| GREGORY L DARROW | MD | 1386738755 |
| DR. DAVID LAWRENCE TEMPEST | MD | 1689735540 |
| MARK JOSEPH STEVENS | D.O. | 1013145531 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.