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

Mr. Cory Ryan Henderson, PA-C

Individual provider Medical Physician Assistant · NPI 1174883292

Mr. Cory Ryan Henderson, PA-C is a Medical Physician Assistant in McConnell AFB, Kansas. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

57950 Leavenworth St
McConnell AFB, KS 67221-3505
Phone: (316) 759-5120
Fax: (316) 759-6553
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1174883292
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 23, 2012
Last updated in NPPESAugust 15, 2022
Certification dateAugust 9, 2022

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