Individual
MARY KAY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
522 N HANCOCK ST, OTTUMWA, IA 52501-4231
(641) 683-0800
(641) 683-0801
Mailing address
522 N HANCOCK ST, OTTUMWA, IA 52501-4231
(641) 683-0800
(641) 683-0801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A060874
IA
Other
Enumeration date
10/04/2011
Last updated
09/20/2018
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