Individual provider · Type 1 NPI

Keith Jerald Henry

Licensed Vocational Nurse · Oakland, CA

NPI number 1114817517 Active

Practice location

2633 E 27th St
Oakland, CA 94601-1912

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X750865 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1114817517

Keith Jerald Henry's National Provider Identifier is 1114817517, issued on Jul 7, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Oakland, CA. The record was last updated on Jul 7, 2025.