Organization
NANINE S HENDERSON DO
Active
Other names
nanine s henderson do
Organization subpart
No
Provider details
NPI number
Authorized official
NANINE SCOT HENDERSON DO (PHYSICIAN)
(502) 893-5422
Entity
Organization
Contact information
Practice address
4010 DUPONT CIR, SUITE 200, LOUISVILLE, KY 40207-4812
(502) 893-5422
(502) 896-4962
Mailing address
4010 DUPONT CIR, SUITE 200, LOUISVILLE, KY 40207-4812
(502) 893-5422
(502) 896-4962
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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