Henderson, Kellie N

Henderson, Kellie N is an individual health care provider with primary practice located at 1611 Nw 12Th Ave Et-B069, Miami FL 33136-1005. She recently has only one registered license in Pharmacy Service Providers / Nutrition Support, which is considered as her primary health care specialty. Henderson, Kellie N can be contacted via phone (305) 585-6651.

Contact Information

Primary practice address
1611 Nw 12Th Ave Et-B069 Miami FL 33136-1005
Phone: (305) 585-6651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Nutrition Support 1835N1003X PS28015 Florida

Profile Details

NPI number 1184850984
LBN Legal business name Henderson, Kellie N
Credentials PHARMD, BCNSP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Jun 8th, 2009 - about 15 years ago

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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