KEVIN WAYNE HENDERSON

BIRMINGHAM, AL
NPI1306001102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AL  DO1202)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-07-22
Last Update Date2014-03-25
Business Address
-- KEVIN WAYNE HENDERSON D.O.
800 MONTCLAIR RD
BIRMINGHAM, AL 35213-1908
Phone number: 205-592-5235
Mailing Address
-- KEVIN WAYNE HENDERSON D.O.
800 MONTCLAIR RD
BIRMINGHAM, AL 35213-1908
Phone number: 205-592-5235