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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KEITH T. HENDERSON
NPI 1609770288
Student in an Organized Health Care Education/Training Program in Wichita, KS

Active since October 06, 2026
3737 W DOUGLAS AVE, WICHITA, KS 67213(316) 941-9948(316) 943-7195 Get Directions Write a Review

NPPES record added: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Keith T. Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH T. HENDERSON (NPI 1609770288) is an individual student in an organized health care education/training program in Wichita, Kansas and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1609770288
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEITH T. HENDERSON
Location Address3737 W DOUGLAS AVEWichita, KS 67213-2407
Mailing Address3457 S Everett StWichita, KS 67217-2143 · (316) 350-5841
Phone(316) 941-9948
Fax(316) 943-7195
Sole ProprietorYes
Enumeration DateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1609770288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3737 W DOUGLAS AVE, Wichita, KS 67213
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TONYA RACHELLE LEBRUN LAC
Counselor (Addiction (Substance Use Disorder))
3737 W DOUGLAS AVE
WICHITA, KS 67213
Sedgwick County (316) 941-9948
MR. JAMES R JONES II LAC
Counselor (Addiction (Substance Use Disorder))
3737 W DOUGLAS AVE
WICHITA, KS 67213
Sedgwick County (316) 941-9948
JARRED JAY WEEMS KCPM
Peer Specialist
3737 W DOUGLAS AVE
WICHITA, KS 67213
Sedgwick County (316) 941-9948
DADE RONAN MMIS
Peer Specialist
3737 W DOUGLAS AVE
WICHITA, KS 67213
Sedgwick County (316) 941-9948
LORRAINE RUTH RIVAS LAC, MSW
Counselor (Addiction (Substance Use Disorder))
3737 W DOUGLAS AVE
WICHITA, KS 67213
Sedgwick County (316) 941-9948
LYNN KIENTZ
Counselor (Addiction (Substance Use Disorder))
3737 W DOUGLAS AVE
WICHITA, KS 67213
Sedgwick County (316) 941-9948
DEBRA RUTH ALVAREZ LAC
Counselor (Addiction (Substance Use Disorder))
3737 W DOUGLAS AVE
WICHITA, KS 67213
Sedgwick County (316) 941-9948
RECOVERY UNLIMITED KS, INC.
Counselor (Addiction (Substance Use Disorder))
3737 W DOUGLAS AVE
WICHITA, KS 67213
Sedgwick County (316) 941-9948

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Henderson's NPI number?

The NPI number for Keith Henderson is 1609770288. It was assigned to this individual provider in the NPPES registry on October 6, 2026.

Where is Keith Henderson located?

Keith Henderson practices at 3737 W Douglas Ave, Wichita, KS 67213. The listed phone number is (316) 941-9948.

What is Keith Henderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keith Henderson was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.