Individual provider · Type 1 NPI

Kevaughn Henry, MD

Student in an Organized Health Care Education/Training Program · North Bergen, NJ

NPI number 1235879594 Active

Practice location

7600 River Rd
North Bergen, NJ 07047-6217

Mailing address

824 Carlton Ave
Plainfield, NJ 07060-2645

Specialties and licenses

TaxonomyCodeLicense
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 1235879594

Kevaughn Henry, MD's National Provider Identifier is 1235879594, issued on Apr 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Bergen, NJ. The record was last updated on Apr 1, 2022.