Individual
MR. JEFFERY LEONARD HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 E A AVE, KINGMAN, KS 67068-1723
(620) 532-5145
(620) 532-2586
Mailing address
701 E A AVE, KINGMAN, KS 67068-1723
(620) 532-5145
(620) 532-2586
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00238
KS
Other
Enumeration date
05/20/2006
Last updated
08/05/2014
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