Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Krystal Marie Henderson

Individual provider Surgery Physician · NPI 1497443642

Miss. Krystal Marie Henderson is a Surgery Physician in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
Specialties on file
2

Practice location Address checks out

395 W 12th Ave Ste 662
Columbus, OH 43210-1267
Phone: (614) 293-8704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 57.256856 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497443642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

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