Henderson Kelley, Laura E.
Henderson Kelley, Laura E. is an individual health care provider with primary practice located at 101 S Fairview Rd , Columbia MO 65203-7637. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Henderson Kelley, Laura E. can be contacted via phone (573) 882-4464.Contact Information
Primary practice address
101 S Fairview Rd
Columbia MO 65203-7637
Phone: (573) 882-4464
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0061990 | Maryland |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0061990 | Maryland |
Profile Details
| NPI number | 1023073236 |
|---|---|
| LBN Legal business name | Henderson Kelley, Laura E. |
| Credentials | M.D, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Aug 23rd, 2022 - about 3 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 | 1023073236 | NPPES |
| Maryland | MEDICAID | 001965800 |
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