Dr. Keith Henderson
DO | Pediatric Emergency Medicine | Male
Dr. Keith Henderson, DO is a Fayetteville, North Carolina based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Keith Henderson is
1638 Owen Dr, Fayetteville, North Carolina - 28304-3424. He can be contacted on phone at
910-609-4592 and fax number 910-609-5179.
Dr. Keith Henderson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Keith Henderson is
1801844931 which was assigned by NPPES on 04 May, 2006 and it was last updated on 15 Jul, 2015.
Dr. Keith Henderson license number is
9400073 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in North Carolina.
Dr. Keith Henderson has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Keith Henderson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Keith Henderson |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Dr. Keith Henderson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1638 Owen Dr
Fayetteville, NC, 28304-3424
United States |
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| Phone Number : | 910-609-4592 |
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| Fax Number : | 910-609-5179 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1801844931 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 May, 2006 |
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| Last Updated On : | 15 Jul, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Keith Henderson are as mentioned. Primary taxonomy code for Dr. Keith Henderson, DO is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 9400073 | NC |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 9400073 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Keith Henderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 8941399 | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1638 Owen Drive, Attn: Managed Care Planning
Fayetteville, NC, 28304
United States |
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| Phone Number : | 910-615-6949 |
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| Fax Number : | 910-615-9761 |
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Business Location:
Patients can refer following map for directions to
Dr. Keith Henderson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.