Kevin Duane Henderson in Tacoma - Chiropractor
Kevin Duane Henderson - NPI 1720070477
Kevin Duane Henderson is a Chiropractor in Tacoma, Washington. Kevin Duane Henderson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kevin Duane Henderson is 1720070477. The last update date is 2010-03-29.
Kevin Duane Henderson's current location address is 2040 6th Ave, Tacoma, Washington. You can contact this provider via phone number 2535721881 and fax number 2535725682. The mailing address for Kevin Duane Henderson is 2040 6th Ave, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Duane Henderson |
|---|---|
| Address | 2040 6th Ave, Tacoma, Washington |
| Phone Number | 2535721881 |
| Fax Number | 2535725682 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1720070477 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2010-03-29 |
Provider Mailing Address Detail
| Address | 2040 6th Ave |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984031045 |
| Phone Number | 2535721881 |
| Fax Number | 2535725682 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 025202 CHOOO |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2028538 | WA | -- | |
| 911471138 | WA | PREMERA BLUE CROSS SHIELD | |
| HE3793 | WA | REGENCE RIDER NUMBER | |
| KH1021774 | WA | ASH NETQORK | |
| 911471138 | WA | AETNA | |
| 911471138 | WA | CIGNA | |
| 70405 | WA | WORKERS COMP | |
| 873745 | WA | FIRST CHOICE HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin Duane Henderson by the Centers for Medicare & Medicaid Services?
The Kevin Duane Henderson has been assigned the NPI (National Provider Identifier) 1720070477. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin Duane Henderson?
The Kevin Duane Henderson is situated at 2040 6Th Ave, in the city of Tacoma, state of WA, with the zip code 984031045.
What is Kevin Duane Henderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin Duane Henderson is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date was the 1720070477 assigned to Kevin Duane Henderson?
The Kevin Duane Henderson was issued its 1720070477 on 2005-08-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kevin Duane Henderson's details last updated?
The information pertaining to the Kevin Duane Henderson, including its address, specialty, and other details, was most recently updated on 2010-03-29.