Individual
MRS. KATHI LEE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1513 N RANDALL AVE, ELK CITY, OK 73644
(580) 225-4466
(580) 225-2417
Mailing address
1513 N RANDALL AVE, ELK CITY, OK 73644-1407
(580) 225-4466
(580) 225-2417
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
20091470
OK
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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