Individual
DR. NANINE S HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4010 DUPONT CIR, LOUISVILLE, KY 40207
(502) 893-5422
(502) 896-4962
Mailing address
4010 DUPONT CIR, LOUISVILLE, KY 40207
(502) 893-5422
(502) 896-4962
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
02123
KY
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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