Mrs Kathi Lee Henderson, ARNP is a
Clinical Nurse Specialist - Pediatrics based in Elk City, Oklahoma. Mrs Kathi Lee Henderson is licensed to practice in Oklahoma (license number 20091470) and her current practice location is
1513 N Randall Ave, Elk City, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 225-4466.
NPI number for Mrs Kathi Lee Henderson is 1780913129 and her current mailing address is 1513 N Randall Ave, Elk City, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780913129.
Provider's Profile
| Full Name | Mrs Kathi Lee Henderson |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Pediatrics |
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| Location | 1513 N Randall Ave, Elk City, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780913129
- Provider Enumeration Date: 12/14/2009
- Last Update Date: 12/14/2009
Medical Identifiers
Medical identifiers for Mrs Kathi Lee Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780913129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0200X | Clinical Nurse Specialist - Pediatrics | 20091470 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kathi Lee Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kathi Lee Henderson, ARNP
1513 N Randall Ave,
Elk City, OK 73644-1407
Ph: (580) 225-4466 | Mrs Kathi Lee Henderson, ARNP
1513 N Randall Ave,
Elk City, OK 73644
Ph: (580) 225-4466 |
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