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Contact Information

KINUYO HENDERSON, DO
1253 N. VON MINDEN
LA GRANGE, TX78945
 Phone: 979-968-8493
 Fax: 979-968-6388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KINUYO HENDERSON · (Female)

NPI Number 1265843874
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/16/2014
Last updated 07/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # R5128
Hospital affiliation(s)
  • ST MARKS MEDICAL CENTER - (Acute Care)
    ONE ST MARK'S PLACE
    LA GRANGE, TX 78945
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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