Individual
BRANDY MICHELLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Mailing address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006303
KY
363L00000X
Nurse Practitioner
71003510A
IN
363LF0000X
Family Nurse Practitioner
3006303
KY
363LF0000X
Family Nurse Practitioner
71003510A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000909083
ANTHEM
KY
05
—
7100193910
—
KY
Enumeration date
12/23/2009
Last updated
02/02/2026
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