Individual
DR. KELLI HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1425 WAKARUSA DR, SUITE D, LAWRENCE, KS 66049-3832
(405) 706-6611
Mailing address
1425 WAKARUSA DR, SUITE D, LAWRENCE, KS 66049-3832
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5743
OK
1223P0221X
Pediatric Dentistry
60453
KS
Other
Enumeration date
05/15/2007
Last updated
09/11/2025
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