Henderson, Kimberly E
Henderson, Kimberly E is an individual health care provider with primary practice located at 520 Nw 5Th St , Brainerd MN 56401-2902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Henderson, Kimberly E can be contacted via phone (507) 884-4856.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 996 | Minnesota |
Profile Details
| NPI number | 1114991361 |
|---|---|
| LBN Legal business name | Henderson, Kimberly E |
| Credentials | APRN, CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jan 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114991361 | NPPES |
| Minnesota | MEDICAID | 313637000 |
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