Henderson, Kevin
Henderson, Kevin is an individual health care provider with primary practice located at 4080 Mcginnis Ferry Rd Ste 402 , Alpharetta GA 30005-3949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Henderson, Kevin can be contacted via phone (709) 551-8147.Contact Information
Primary practice address
4080 Mcginnis Ferry Rd Ste 402
Alpharetta GA 30005-3949
Phone: (709) 551-8147
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 057302 | Georgia |
Profile Details
| NPI number | 1346298940 |
|---|---|
| LBN Legal business name | Henderson, Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jun 13th, 2024 - about 5 months 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 | 1346298940 | NPPES |
| Georgia | MEDICAID | 520950819A |
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