Individual
DR. ANDREA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1010 MAIN ST S, MC KEE, KY 40447-7089
(606) 287-7104
(606) 287-4409
Mailing address
1010 MAIN ST S, MC KEE, KY 40447-7089
(606) 287-7104
(606) 287-4409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8909
KY
Other
Enumeration date
06/17/2010
Last updated
10/12/2012
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