MR. Cory Ryan Henderson, PA-C
NPI #1174883292 in Mcconnell Afb, Kansas
Provider Information
- NPI Number
- 1174883292
- Entity Type
- Individual
- Name
- MR. Cory Ryan Henderson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- May 23, 2012
- Last Updated
- Aug 15, 2022
Practice Location
- Address
- 57950 LEAVENWORTH ST
- City
- Mcconnell Afb
- State
- Kansas
- ZIP Code
- 67221-3505
- Phone
- (316) 759-5120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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