Individual provider · Type 1 NPI

Cory Ryan Henderson, PA-C

Medical Physician Assistant · Mcconnell Afb, KS

NPI number 1174883292 Active

Practice location

57950 Leavenworth St
Mcconnell Afb, KS 67221-3505

Fax (316) 759-6553

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1174883292

Cory Ryan Henderson, PA-C's National Provider Identifier is 1174883292, issued on May 23, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mcconnell Afb, KS. The record was last updated on Aug 15, 2022.