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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CORY RYAN HENDERSON, PA-C

Active Sole Proprietor

MR. CORY RYAN HENDERSON, PA-C is a Medical Physician Assistant healthcare provider located in MCCONNELL AFB, Kansas. NPI 1174883292 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · MCCONNELL AFB, KS

Registration Details

NPI Number
1174883292
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2012 (14.215106273559 yrs)
Last Updated
Aug 15, 2022
Sole Proprietor
Yes

Practice Information

Address
57950 LEAVENWORTH ST
MCCONNELL AFB, KS, 672213505
Browse KS providers · Browse ZIP 67221
Phone
3167595120
Fax
3167596553
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in MCCONNELL AFB, KS

Name Credential NPI
LARRY E CHUPP PA-C, MPAS 1750371456
MR. TIMOTHY RAFFERTY PA-C 1750799359
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.