Henderson, Rodney Mckinley

Henderson, Rodney Mckinley is an individual health care provider with primary practice located at 1945 Scottsville Rd B-2 Pmb 137 , Bowling Green KY 42104-3376. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Henderson, Rodney Mckinley can be contacted via phone (270) 782-0434.

Contact Information

Primary practice address
1945 Scottsville Rd B-2 Pmb 137 Bowling Green KY 42104-3376
Phone: (270) 782-0434
Fax: (270) 782-0564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X SA020 Kentucky

Profile Details

NPI number 1518994094
LBN Legal business name Henderson, Rodney Mckinley
Credentials RODNEY HENDERSON
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1518994094 NPPES
Kentucky Other 000000212658 ANTHEM
Kentucky Other 58221859-B ANTHEM

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