Individual
KELLY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT, CRT
Contact information
Practice address
3600 BROADWAY FL 3, OAKLAND, CA 94611-5730
(510) 752-5242
Mailing address
3600 BROADWAY FL 3, OAKLAND, CA 94611-5730
(510) 752-5242
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
39466
CA
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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