Individual
MR. RODNEY MCKINLEY HENDERSON
Active
Individual
MR. RODNEY MCKINLEY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RODNEY HENDERSON
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA020
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212658
ANTHEM
KY
01
—
58221859-B
HUMANA
KY
Enumeration date
06/28/2006
Last updated
07/08/2007
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