Henderson, Kathleen M

Henderson, Kathleen M is an individual health care provider with primary practice located at 1 Commerce St Internal Medicine, Lincoln RI 02865-1168. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Henderson, Kathleen M can be contacted via phone (401) 793-8500.

Contact Information

Primary practice address
1 Commerce St Internal Medicine Lincoln RI 02865-1168
Fax: (401) 793-8511
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD07374 Rhode Island

Profile Details

NPI number 1841296597
LBN Legal business name Henderson, Kathleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Oct 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841296597 NPPES
Rhode Island MEDICAID 7002148

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