Individual
KATHLEEN N HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2450 E RIVER RD, TUCSON, AZ 85718-6526
(520) 795-7750
(520) 320-2155
Mailing address
2450 E RIVER RD, TUCSON, AZ 85718-6526
(520) 795-7750
(520) 320-2155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
260633
AZ
363L00000X
Nurse Practitioner
78097
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095286
—
AZ
Enumeration date
05/01/2018
Last updated
09/14/2021
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