Individual
KATHRYN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596
(925) 295-4000
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16128
CA
207P00000X
Emergency Medicine Physician
OT015638
PA
Other
Enumeration date
05/05/2014
Last updated
02/11/2022
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