Individual
MR. ROBERT T HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN,CRNFA
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 552-6398
Mailing address
4820 TODDS RD, LEXINGTON, KY 40509-9442
(859) 552-6398
(859) 263-7724
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1035215
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1188196
CHA
—
Enumeration date
02/23/2007
Last updated
07/09/2007
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