National Provider Identifier

Kenshara K Henderson, LPN

Kenshara K Henderson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 697-6000.

NPI 1457604688Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1457604688
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 25, 2012
Last Updated
December 03, 2020

Practice Location

  • 1500 Portland Ave
  • Rochester, NY 14605

Phone: (585) 697-6000

Mailing Address

  • 33 Brookdale Park
  • Rochester, NY 14609-1518

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1457604688
Entity Type
Individual
Last Name
Henderson
First Name
Kenshara
Middle Name
K
Credential
LPN
Mailing Street Address
33 Brookdale Park
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-1518
Mailing Country
US
Mailing Phone
(585) 615-0597
Practice Street Address
1500 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14605
Practice Country
US
Practice Phone
(585) 697-6000
Enumeration Date
October 25, 2012
Last Updated
December 03, 2020
Sex
Female
Sole Proprietor
No
Certification Date
December 03, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)