Individual provider · Type 1 NPI
Jeffery Leonard Henderson, PA-C
Medical Physician Assistant · Kingman, KS
NPI number
1295789584
Active
Practice location
701 E A Ave
Kingman, KS 67068-1723
Fax (620) 532-2586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 15-00238 (KS) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1295789584
Jeffery Leonard Henderson, PA-C's National Provider Identifier is 1295789584, issued on May 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kingman, KS. The record was last updated on Aug 5, 2014.