Kenneth J Henderson LAT, ATC

NPI 1023046497 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1023046497
Gender Male
Enumeration Date 06/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
245 NE 30 RD
GREAT BEND KS, 67530-9251, US
Phone (620) 792-9371
Fax (620) 786-1161
Business Location
245 NE 30 RD
GREAT BEND KS, 67530-9251, US
Phone (620) 792-9371
Fax (620) 786-1161
Toxanomy
Taxonomy Code 2255A2300X
License State Kansas
License Number 24-00048
Remove 1023046497 NPI Number
 

According to our database, Kenneth J Henderson LAT, ATC NPI is 1023046497, taxonomy code is 2255A2300X and license number is 24-00048, license state is located at Kansas. Kenneth J Henderson LAT, ATC physically located at 245 Ne 30 Rd, Great Bend KS, 67530-9251. NPI Number Kenneth J Henderson LAT, ATC has the Individual type.

Sponsored links

1023046497 NPI number is provided on an as is basis without warranty of any kind. 1023046497 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth J Henderson LAT, ATC are for informational purposes only.