Individual provider · Type 1 NPI

Kevin Henson, CPNP-PC

Pediatric Nurse Practitioner · Sacramento, CA

NPI number 1417531104 Active

Practice location

3814 Auburn Blvd Ste 72
Sacramento, CA 95821-2123

Fax (916) 647-0156

Mailing address

2615 27th St
Sacramento, CA 95818-2616

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X95017287 (CA)

Pediatric Nurse Practitioner: Definition to come...

6 other providers at this address

Other pediatric nurse practitioner providers in Sacramento

See all in Sacramento →

About NPI 1417531104

Kevin Henson, CPNP-PC's National Provider Identifier is 1417531104, issued on May 8, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Sacramento, CA. The record was last updated on May 8, 2021.