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Individual

DANIEL GRANT HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(185) 923-3451
Mailing address
525 HIGHWAY 36, FRENCHBURG, KY 40322-8121
(859) 697-4598

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
1100120
KY
2471C3401X
Computed Tomography Radiologic Technologist
1100120
KY
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
1100120
KY

Other

Enumeration date
06/09/2026
Last updated
06/09/2026
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