Henderson, Kathryn Ann
Henderson, Kathryn Ann is an individual health care provider with primary practice located at 19 Myrtle St , Medford OR 97504-7337. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Henderson, Kathryn Ann can be contacted via phone (541) 842-7626.Contact Information
Primary practice address
19 Myrtle St
Medford OR 97504-7337
Phone: (541) 842-7626
Fax: (541) 842-7640
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | D013513 | Oregon |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO13513 | Oregon |
Profile Details
NPI number | 1710949417 |
---|---|
LBN Legal business name | Henderson, Kathryn Ann |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2006 |
Last updated | Mar 12th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710949417 | NPPES |
Oregon | Other | 023507000 | BC/BS OF OREGON |
Oregon | Other | E68602 | BC/BS OF OREGON |
Oregon | MEDICAID | XPY185059 | BC/BS OF OREGON |
Oregon | Other | 930079054 | BC/BS OF OREGON |
Oregon | Other | 97520A005 | BC/BS OF OREGON |
Oregon | Other | E68602 | BC/BS OF OREGON |
Popular Providers
-
Ruppert, Ronald C
2859 State St Ste 101 , Medford OR 97504-8495 -
Kahn, Karen Tresser
625 Stevens St , Medford OR 97504-6719 -
Dunckel, Phyllis T.
19 Myrtle St , Medford OR 97504-7337 -
Hecox, Kerri Ann
1025 E Main St Ste 108 , Medford OR 97504-7448 -
Albert, Martin Philip
900 E Main St , Medford OR 97504 -
Cutler, Mary Frances
3617 S Pacific Hwy , Medford OR 97501-8957 -
Charles, Marcelin
691 Murphy Rd Suite 107, Medford OR 97504-4346 -
Sparling, Susan K
19 Myrtle St , Medford OR 97504-7337