Henderson, Kendrick Knoll

Henderson, Kendrick Knoll is an individual health care provider with primary practice located at 8000 Centerview Pkwy Ste 500 , Cordova TN 38018-4254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Henderson, Kendrick Knoll can be contacted via phone (901) 747-1111.

Contact Information

Primary practice address
8000 Centerview Pkwy Ste 500 Cordova TN 38018-4254
Phone: (901) 747-1111
Fax: (901) 255-7168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 36334 Tennessee

Profile Details

NPI number 1760452577
LBN Legal business name Henderson, Kendrick Knoll
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Feb 3rd, 2020 - about 4 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 1760452577 NPPES
Tennessee MEDICAID 3873403
Tennessee MEDICAID 3703553

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