Henderson, Kimberly J
Henderson, Kimberly J is an sole proprietor health care provider with primary practice located at 1251 Stafford St Unit 6 , Monroe NC 28110-3349. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Henderson, Kimberly J can be contacted via phone (980) 290-5515.Contact Information
Primary practice address
1251 Stafford St Unit 6
Monroe NC 28110-3349
Phone: (980) 290-5515
Fax:
Website:
Health care specialties
Profile Details
| NPI number | 1366592859 |
|---|---|
| LBN Legal business name | Henderson, Kimberly J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Nov 3rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366592859 | NPPES |
| New York | MEDICAID | 02574490 |
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