Henderson, Kimberly Elaine

Henderson, Kimberly Elaine is an sole proprietor health care provider with primary practice located at 1940 Sherman Ave Lot 103 , Panama City FL 32405-6263. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Henderson, Kimberly Elaine can be contacted via phone (850) 276-8169.

Contact Information

Primary practice address
1940 Sherman Ave Lot 103 Panama City FL 32405-6263
Phone: (850) 276-8169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1114478773
LBN Legal business name Henderson, Kimberly Elaine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2016
Last updated Oct 19th, 2016 - about 8 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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