Myra A Henderson
Reproductive Endocrinologist
1115 Woodland Dr
Elizabethtown
, Kentucky 42701-2749
Myra A Henderson
Reproductive Endocrinologist
1115 Woodland Dr
Elizabethtown
, Kentucky 42701-2749
(270) 769-9051
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Myra A Henderson
- 1115 Woodland Dr
- Elizabethtown, KY
- Zip : 42701-2749
- Fax : (270) 769-9051
- Phone : (270) 769-5963
Second Address
- Myra A Henderson
- 1115 Woodland Dr
- Elizabethtown, KY
- Zip : 42701-2749
- Fax : (270) 769-9051
- Phone : (270) 769-5963
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 02554 | KY |
National Provider Identifier
| NPI | 1427151430 |
|---|---|
| Provider Name | Myra A Henderson |
| First Address | Elizabethtown, KY 42701-2749 |
| Second Address | Elizabethtown, KY 42701-2749 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2006 |
| Last Update Date | 09/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64025547 | (05) | KY |
| G19040 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.