Individual provider · Type 1 NPI

Kimberly Henderson

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1205596343 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Fax (801) 373-0639

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205596343

Kimberly Henderson's National Provider Identifier is 1205596343, issued on Dec 29, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Jan 5, 2022.