Individual
MR. RODNEY MCKINLEY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RODNEY HENDERSON
Contact information
Practice address
1945 SCOTTSVILLE RD B-2 PMB 137, BOWLING GREEN, KY 42104-3376
(270) 782-0434
(270) 782-0564
Mailing address
1945 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-3376
(270) 782-0434
(270) 782-0564
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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