Individual
KANIYA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
463 PLUM CREEK RD, LONGVIEW, TX 75605-7540
(903) 738-8732
(903) 738-8732
Mailing address
463 PLUM CREEK RD, LONGVIEW, TX 75605-7540
(903) 738-8732
(903) 738-8732
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
TX
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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