Individual
DR. KELLY MARIE HENDERSHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 681-0606
Mailing address
12134 CRAIG LN, OVERLAND PARK, KS 66213-1477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07426
KS
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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