Individual provider · Type 1 NPI

Keiland Maurice Henderson

Contractor · Stockton, CA

NPI number 1093019846 Active

Practice location

151 W Cleveland St
Stockton, CA 95204-5306

Call (916) 470-8628 Map

Mailing address

350 Kresge Ln.
Sparks, NV 89431

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1093019846

Keiland Maurice Henderson's National Provider Identifier is 1093019846, issued on Jan 7, 2011. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Stockton, CA. The record was last updated on Jun 7, 2023.