KELLY HENDERSON, P.A.
Physician Assistant
Active
Individual
NPI: 1154337517
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 15-00672 (KS) |
Frequently Asked Questions
NPI 1154337517 is the National Provider Identifier for KELLY HENDERSON, P.A., a Physician Assistant provider located in Overland Park, KS. This NPI was enumerated on July 31, 2006.
KELLY HENDERSON, P.A. practices at 11725 W 112TH ST, Overland Park, KS 66210.
Quick Facts
- NPI
- 1154337517
- Type
- Individual
- Enumerated
- Jul 31, 2006
- Last Updated
- Jul 8, 2007
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