Henderson, Kimberly Jill
Henderson, Kimberly Jill is an individual health care provider with primary practice located at 334 Plaza Rd , Kingston NY 12401-2975. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Henderson, Kimberly Jill can be contacted via phone (845) 338-5575.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 278817 | New York |
Profile Details
| NPI number | 1790070787 |
|---|---|
| LBN Legal business name | Henderson, Kimberly Jill |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2011 |
| Last updated | Jan 24th, 2017 - about 9 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 | 1790070787 | NPPES |
| New York | MEDICAID | 04091058 |
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