| NPI | 1821254145 |
|---|---|
| Former Legal Business Name | NANINE S HENDERSON DO |
| Entity Type | Organization |
| Authorized Contact | NANINE SCOT HENDERSON Physician 502-893-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |