Individual provider · Type 1 NPI
Kelli Stevens Henderson
Family Nurse Practitioner · Lexington, KY
NPI number
1972260644
Active
Practice location
800 Rose St
Lexington, KY 40536-7001
Fax (859) 257-3347
Mailing address
1761 Beacon Hill Rd
Lexington, KY 40504-2212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 3014467 (KY) |
| Family Nurse Practitioner Primary | 363LF0000X | 3014467 (KY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972260644
Kelli Stevens Henderson's National Provider Identifier is 1972260644, issued on Nov 17, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lexington, KY. The record was last updated on Dec 22, 2021.