IndividualActive
Keith Henderson, DO
NPI 1801844931 · Pediatric Emergency Medicine (Pediatrics) Physician · Fayetteville, NC
Provider details
- NPI number
- 1801844931
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 9400073 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone: (910) 609-4592
Fax: (910) 609-5179
Approximate (ZIP-level) locationGet directions
Mailing address
1638 Owen Drive
Fayetteville, NC 28304
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2015-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.