Individual
KATHLEEN ANN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 632-2831
(913) 632-2898
Mailing address
1420 N PRINCE EDWARD IS, OLATHE, KS 66061-6702
(913) 461-4747
(913) 632-2898
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
53-77431-122
KS
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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