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Organization

KIMBERLY HENDERSON MD PC

Active
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Organization

KIMBERLY HENDERSON MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEVION SMITH (DIRECTOR, PAYER CONTRACTING)
(424) 326-8711
Entity
Organization

Contact information

Practice address
80 WARREN ST APT 32, NEW YORK, NY 10007-1038
(862) 423-3000
Mailing address
33 ARCH ST FL 17, BOSTON, MA 02110-1424

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
06/16/2022
Last updated
06/05/2026
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