Henick, Kathryn Alyce

Henick, Kathryn Alyce is an individual health care provider with primary practice located at 2021 Santa Monica Blvd Suite 400E, Santa Monica CA 90404-2208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Henick, Kathryn Alyce can be contacted via phone (310) 453-5654.

Contact Information

Primary practice address
2021 Santa Monica Blvd Suite 400E Santa Monica CA 90404-2208
Phone: (310) 453-5654
Fax: (310) 453-6885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G78994 California

Profile Details

NPI number 1912972779
LBN Legal business name Henick, Kathryn Alyce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912972779 NPPES
California Other G78994 CALIFORNIA LICENSE
California MEDICAID G789940 CALIFORNIA LICENSE
California MEDICAID GR0085740 CALIFORNIA LICENSE

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