Kevin Henderson

NPI #1821957614 in Ashtabula, Ohio

Provider Information

NPI Number: 1821957614
Entity Type: Individual
Name: Kevin Henderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jan 19, 2026
Last Updated: Jan 19, 2026

Practice Location

Address: 4726 MAIN AVE
City: Ashtabula
State: Ohio
ZIP Code: 44004-6929
Phone: (440) 578-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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