SearchVirginia224Z00000X

Kelly Henderson

NPI 1861250060 · on the registry since 2024

Practice

Address
1209 Waddell Ln
South Boston, VA 24592
Phone
(434) 470-4114

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia