| NPI | 1154337517 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-07-31 |
| Last Updated | 2007-07-08 |
| Mailing Address | 11755 W 112th St, Suite 203 Overland Park, KS 66210-2761 United States Phone: (913) 469-0503 | Fax: (913) 338-1311 📍 View Map |
| Primary Practice Address | 11725 W 112th St Overland Park, KS 66210-2761 United States Phone: (913) 469-5579 | Fax: (913) 338-1311 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363A00000X – Physician Assistant | KS | 15-00672 |
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About NPI 1154337517
Kelly G. Henderson P.A. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1154337517. The primary specialty listed is Physician Assistant. The provider is located in Overland Park, KS. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1154337517?
NPI 1154337517 belongs to Kelly G. Henderson P.A., a Physician Assistant in Overland Park, KS. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1154337517 active?
The current status of NPI 1154337517 in the NPPES registry is Active. The record was last updated on 2007-07-08.
What specialty is NPI 1154337517?
NPI 1154337517 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1154337517?
You can verify NPI 1154337517 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1154337517?
The primary practice address on file for NPI 1154337517 is 11725 W 112th St, Overland Park, KS 66210-2761. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1154337517 issued?
NPI 1154337517 was first issued (enumerated) on 2006-07-31. The NPPES record was last updated on 2007-07-08.
Practice Location Map
Kelly G. Henderson is located at 11725 W 112th St, Overland Park, KS. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kelly G. Henderson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1154337517. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant | 15-00672 | KS |