Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Prescriptions Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
626 KIRBY RD
KING, NC 27021-9496 US
PECOS Enrolled

Katelyn Joyce Henderson

Dentist


Katelyn Joyce Henderson

Overview

Katelyn Joyce Henderson is a Dentist in the KING area. Katelyn Joyce Henderson primary office location is at 626 KIRBY RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1053752055 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
626 KIRBY RD
KING, NC 27021-9496 US
Phone: (336)-983-4565
Fax:
Practice Mailing Information
626 KIRBY RD
KING, NC 27021-9496 US
Phone: (336)-983-4565
Fax:
License NumberState
D9492NC

No Identifiers found

TaxonomyStatePrimary?
Dentist - Taxonomy Code 122300000X NCY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) -