Individual
EMILY KAITLIN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
842 BRENT ST, WINSTON SALEM, NC 27103-3810
(919) 523-9891
Mailing address
842 BRENT ST, WINSTON SALEM, NC 27103-3810
(919) 523-9891
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004827
NC
Other
Enumeration date
05/25/2016
Last updated
01/08/2026
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