person
Mr. Kevin Duane Henderson, DC
Chiropractor in Tacoma, Washington
NPI 1720070477

Kevin Duane Henderson is a Chiropractor based in Tacoma, WA. Kevin Duane Henderson practices in Tacoma, WA and has the professional credentials of DC. The NPI Number for Kevin Duane Henderson is 1720070477 and holds a License No. 025202 CHOOOO2023 (Washington).

The current practice location address for Kevin Duane Henderson is 2040 6Th Ave, Tacoma, WA and can be reached out via phone at 253-572-1881 and via fax at 253-572-5682.

Location: 2040 6Th Ave, Tacoma, WA, 98403-1045
person
Provider Profile Details
NPI Number
1720070477
Provider Name
Kevin Duane Henderson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2040 6Th Ave, Tacoma, WA, 98403-1045
Phone Number
253-572-1881
Fax Number
253-572-5682
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2028538 05 WA
911471138 01 WA PREMERA BLUE CROSS SHIELD
HE3793 01 WA REGENCE RIDER NUMBER
KH1021774 01 WA ASH NETQORK
911471138 01 WA AETNA
911471138 01 WA CIGNA
0070405 01 WA WORKERS COMP
873745 01 WA FIRST CHOICE HEALTH
institution
Provider Business Practice Location Address Details
Address
2040 6Th Ave
City
State
Zip
98403-1045
Phone Number
253-572-1881
Fax Number
253-572-5682
person
Provider Business Mailing Address Details
Address
2040 6Th Ave
City
State
Zip
98403-1045
Phone Number
253-572-1881
Fax Number
253-572-5682
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
025202 CHOOOO2023 (Washington)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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