Henderson, Kyle

Henderson, Kyle is an sole proprietor health care provider with primary practice located at 200 Porter Dr Suite 215, San Ramon CA 94583-1587. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Henderson, Kyle can be contacted via phone (925) 362-2111.

Contact Information

Primary practice address
200 Porter Dr Suite 215 San Ramon CA 94583-1587
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 51492 California

Profile Details

NPI number 1134547599
LBN Legal business name Henderson, Kyle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2014
Last updated Feb 11th, 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.

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