Individual
KIMBERLY HENZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 N STADIUM DR, FAYETTEVILLE, AR 72701-4026
(214) 500-6294
Mailing address
4191 W SARDINIA WAY, FAYETTEVILLE, AR 72704-7157
(214) 500-6294
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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