Individual
MR. JAMES RICHARD HENTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCO BADO
Contact information
Practice address
744 S HILLSIDE, WICHITA, KS 67211-3002
(316) 688-5235
(316) 651-0775
Mailing address
744 S HILLSIDE, WICHITA, KS 67211-3002
(316) 688-5235
(316) 651-0775
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218340A
—
KS
01
—
1933222
FDA
—
Enumeration date
10/18/2006
Last updated
11/28/2007
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