Individual
KEVIN WAYNE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 MONTCLAIR RD, BIRMINGHAM, AL 35213-1908
(205) 592-5235
(205) 592-5254
Mailing address
800 MONTCLAIR RD, BIRMINGHAM, AL 35213-1908
(205) 592-5235
(205) 592-5254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO1202
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2008
Last updated
03/25/2014
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