MR. Cory Ryan Henderson, PA-C is a medical physician assistant in Mcconnell Afb, KS. MR. Cory Ryan Henderson, PA-C NPI is 1174883292. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
57950 LEAVENWORTH ST
MCCONNELL AFB, KS
ZIP 67221-505
Phone: (316) 759-5120
Fax: (316) 759-6553
The NPI 1174883292 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/23/2012 and was last updated on 8/15/2022.