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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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

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