Individual
ANGEL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
376 COLLINS LN, CORBIN, KY 40701-8610
(606) 619-8459
(800) 804-3513
Mailing address
376 COLLINS LN, CORBIN, KY 40701-8610
(606) 619-8459
(800) 804-3513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007146
KY
Other
Enumeration date
10/17/2011
Last updated
09/03/2024
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