Individual provider · Type 1 NPI

Keith T. Henderson

Student in an Organized Health Care Education/Training Program · Wichita, KS

NPI number 1609770288 Active

Practice location

3737 W Douglas Ave
Wichita, KS 67213-2407

Call (316) 941-9948 Map

Fax (316) 943-7195

Mailing address

3457 S Everett St
Wichita, KS 67217-2143

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609770288

Keith T. Henderson's National Provider Identifier is 1609770288, issued on Oct 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wichita, KS. The record was last updated on Oct 6, 2026.