IndividualActive
Cory Henderson, PA-C
NPI 1174883292 · Medical Physician Assistant · Mcconnell Afb, KS
Provider details
- NPI number
- 1174883292
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
57950 Leavenworth St
Mcconnell Afb, KS 67221-3505
Phone: (316) 759-5120
Fax: (316) 759-6553
Approximate (ZIP-level) locationGet directions
Mailing address
57950 Leavenworth St
Mcconnell Afb, KS 67221-3505
Registry dates
- Enumerated
- 2012-05-23
- Last updated
- 2022-08-15
- Certified
- 2022-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.