Individual
KAITLYN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
815 COOLIDGE AVE UNIT 6, NIAGARA, WI 54151-1032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2266140
WI
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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