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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 1346298940 NPPES
Georgia MEDICAID 520950819A

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