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Contact Information

KEVIN W HENDERSON, DO
800 MONTCLAIR RD
BIRMINGHAM, AL35213-1908
 Phone: 205-592-5235
 Fax: 205-592-5254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KEVIN W HENDERSON · (Male)

NPI # 1306001102
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/22/2008
Last updated 03/25/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AL License # DO1202
Hospital affiliation(s)
  • EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care)
    2000 PEPPERELL PARKWAY
    OPELIKA, AL 36801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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