Individual
KRISTI JO HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 WALNUT ST, MCKEESPORT, PA 15132-7300
(724) 771-6260
Mailing address
10431 OLD TRAIL RD, IRWIN, PA 15642-2027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN558102
PA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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