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

MR. JEFFERY LEONARD HENDERSON, PA-C

Active

Medical Physician Assistant · KINGMAN, KS

Registration Details

NPI Number
1295789584
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2006 (19.922881506295 yrs)
Last Updated
Aug 5, 2014
License
15-00238 (KS)

Practice Information

Address
701 E A AVE
KINGMAN, KS, 670681723
Browse KS providers · Browse ZIP 67068
Phone
6205325145
Fax
6205322586
Primary Specialty
Medical Physician Assistant
363AM0700X
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.