Richard Henderson, OD

NPI #1669537528 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1669537528
Entity Type: Individual
Name: Richard Henderson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1609 N DIXIE HWY
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-6473
Phone: (270) 765-7372

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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