Individual provider · Type 1 NPI

Keith Henderson, DO

Pediatric Emergency Medicine (Pediatrics) Physician · Fayetteville, NC

NPI number 1801844931 Active

Practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Call (910) 609-4592 Map

Fax (910) 609-5179

Mailing address

1638 Owen Drive, Attn: Managed Care Planning
Fayetteville, NC 28304

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X9400073 (NC)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X9400073 (NC)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1801844931

Keith Henderson, DO's National Provider Identifier is 1801844931, issued on May 4, 2006. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 15, 2015.