Individual
KIMBERLY ELAINE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1940 SHERMAN AVE LOT 103, PANAMA CITY, FL 32405-6263
(850) 276-8169
Mailing address
1940 SHERMAN AVE LOT 103, PANAMA CITY, FL 32405-6263
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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