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Kenyatta Henderson, IOMT

Specialist/Technologist, Other, Electroneurodiagnostic in Fort Collins, CO. Individual provider (NPI-1).

NPI number1881981108
StatusActive
Last updated in NPPESJul 7, 2011

Details

NPI
1881981108
Entity type
Individual (NPI-1)
Name
Kenyatta Henderson
Credential
IOMT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2011
Last updated
Jul 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic––Yes

Practice location

1300 Oakridge Dr
Suite 130
Fort Collins, CO 80525-5564

Phone 877-377-9555

Mailing address

1300 Oakridge Dr
Suite 130
Fort Collins, CO 80525-5564

Phone 877-377-9555

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