Individual
COURTNEY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
826 BELLE ST, LOUISVILLE, KY 40245-2915
(270) 970-5390
Mailing address
826 BELLE ST, LOUISVILLE, KY 40245-2915
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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