Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFERY LEONARD HENDERSON, PA-C
ActiveMedical 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 AVEKINGMAN, KS, 670681723Browse 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.