National Provider Identifier

Kimberly Henderson

Kimberly Henderson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Naples, NY and a listed phone number of (607) 661-8051.

NPI 1578967196Naples, NYLicensed Practical Nurse

Profile Overview

NPI
1578967196
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 09, 2014
Last Updated
October 09, 2014

Practice Location

  • 7958 State Route 21
  • Naples, NY 14512-9207

Phone: (607) 661-8051

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1578967196
Entity Type
Individual
Last Name
Henderson
First Name
Kimberly
Mailing Street Address
7958 State Route 21
Mailing City
Naples
Mailing State
NY
Mailing ZIP Code
14512-9207
Mailing Country
US
Mailing Phone
(607) 661-8051
Practice Street Address
7958 State Route 21
Practice City
Naples
Practice State
NY
Practice ZIP Code
14512-9207
Practice Country
US
Practice Phone
(607) 661-8051
Enumeration Date
October 09, 2014
Last Updated
October 09, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)