Individual
KELBY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5050 N MAIZE RD APT 120, MAIZE, KS 67101-6602
(316) 730-0744
Mailing address
5050 N MAIZE RD APT 120, MAIZE, KS 67101-6602
(316) 730-0744
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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