Kelly G. Henderson in Overland Park - Physician Assistant
Kelly G. Henderson - NPI 1154337517
Kelly G. Henderson is a Physician Assistant in Overland Park, Kansas. Kelly G. Henderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly G. Henderson is 1154337517. The last update date is 2007-07-08.
Kelly G. Henderson's current location address is 11725 W 112th St, Overland Park, Kansas. You can contact this provider via phone number 9134695579 and fax number 9133381311. The mailing address for Kelly G. Henderson is 11725 W 112th St, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly G. Henderson |
|---|---|
| Address | 11725 W 112th St, Overland Park, Kansas |
| Phone Number | 9134695579 |
| Fax Number | 9133381311 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1154337517 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11725 W 112th St |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662102761 |
| Phone Number | 9134695579 |
| Fax Number | 9133381311 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 15-00672 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly G. Henderson?
The Kelly G. Henderson has been issued the NPI (National Provider Identifier) 1154337517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kelly G. Henderson?
The Kelly G. Henderson is physically situated at 11725 W 112Th St, in the city of Overland Park, state of KS, with the postal code 662102761.
What is Kelly G. Henderson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly G. Henderson is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154337517 to Kelly G. Henderson?
The Centers for Medicare & Medicaid Services originally issued the 1154337517 to Kelly G. Henderson on 2006-07-31.
When was the information pertaining to Kelly G. Henderson most recently updated or revised?
The details related to Kelly G. Henderson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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