Individual
DAVID M HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66103-2937
(913) 588-3315
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66103-2937
(913) 588-6670
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54373
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100383570A
—
KS
Enumeration date
10/05/2006
Last updated
02/14/2012
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