| Mr Cory Ryan Henderson, PA-C | |
|
57950 Leavenworth St, Mcconnell Afb, KS 67221-3505 | |
| (316) 759-5120 | |
| (316) 759-6553 |
| Full Name | Mr Cory Ryan Henderson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 57950 Leavenworth St, Mcconnell Afb, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174883292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cory Ryan Henderson, PA-C 57950 Leavenworth St, Mcconnell Afb, KS 67221-3505 Ph: (316) 759-5120 | Mr Cory Ryan Henderson, PA-C 57950 Leavenworth St, Mcconnell Afb, KS 67221-3505 Ph: (316) 759-5120 |
Mr. Matthew Scott Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221 Phone: 316-759-3653 | |
Larry E Chupp, PA-C, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 22 Mdg, 57950 Leavenworth St, Mcconnell Afb, KS 67221 Phone: 316-759-1970 | |
Mr. Timothy Rafferty, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 57950 Leavenworth St, Mcconnell Afb, KS 67221 Phone: 316-759-2057 | |
Johnson Acopan Jr., PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 57950 Leavenworth St Bldg 250, Mcconnell Afb, KS 67221 Phone: 316-759-6300 |