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DR. KEITH HENDERSON DO
NPI 1801844931
Pediatrics - Pediatric Emergency Medicine in Fayetteville, NC

Active since May 04, 2006
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 609-4592(910) 609-5179 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Keith Henderson Do NPPES

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

DR. KEITH HENDERSON DO (NPI 1801844931) is an individual pediatric emergency medicine provider in Fayetteville, North Carolina, licensed in North Carolina (9400073) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1801844931
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. KEITH HENDERSONCredential: DO
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address1638 Owen Drive, Attn: Managed Care PlanningFayetteville, NC 28304 · (910) 615-6949 · Fax (910) 615-9761
Phone(910) 609-4592
Fax(910) 609-5179
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 15, 2015
✔ NPI 1801844931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NC · 9400073
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 9400073 (NC)
1638 OWEN DR, Fayetteville, NC 28304
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Other Identifiers 3

Medicare PIN2401132ENC
Medicaid8941399NC
Medicare UPINE50043

Other Providers at the Same Location NPPES 20

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

HEATHER MCPHAIL COAXUM NP
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5680
CAPE FEAR VALLEY MEDICAL CENTER
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-7968
WENDY LYNN BROCK NNP
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5490
ABHISHEK GOEL MD
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3960
LAUREN WOHLRAB
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-5000
JINGCHUAN WANG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4000
KENNETH RUSSELL MANNING M.D.
Internal Medicine (Medical Oncology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-6910
CUMBERLAND COUNTY HOSPITAL SYSTEM, INC
Surgery (Trauma Surgery)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-8000

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 1801844931. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Keith Henderson located?

Keith Henderson practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 609-4592.

What is Keith Henderson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

When was this NPI record last updated?

The NPPES record for Keith Henderson was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.