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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Cory Ryan Henderson, PA-C

Medical Physician Assistant in Mcconnell Afb, KS · enumerated 2012 · practices at 22 Mdg.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174883292

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Registry record

Entity type Individual (Type 1)
Name Mr. Cory Ryan Henderson
Credential PA-C
Sex Male
Practice address Mcconnell Afb, KS, 67221
Fax (316) 759-6553
Enumeration date May 23, 2012
Last updated in NPPES Aug 15, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Cory Henderson's NPI record?
Cross-check NPI 1174883292 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1174883292 active?
Yes, as of the latest NPPES snapshot, NPI 1174883292 is active (record last updated 2022-08-15).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-15.