Organization
MYO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HAROLD HENDERSON M.D. (VICE PRESIDENT)
(913) 710-8440
Entity
Organization
Contact information
Practice address
6013 LEAVENWORTH RD, KANSAS CITY, KS 66104-1436
(913) 281-2090
(913) 788-9400
Mailing address
6013 LEAVENWORTH RD, KANSAS CITY, KS 66104-1436
(913) 281-2090
(913) 788-9400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16776
KS
Other
Enumeration date
08/13/2007
Last updated
09/20/2007
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