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Contact Information

KOLLEEN OBANNON HENDERSON, NP
3469 N VERDUGO RD
GLENDALE, CA91208
 Phone: 818-249-6636
 Fax: 818-249-5074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for KOLLEEN OBANNON HENDERSON · (Female)

NPI # 1215027206
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/13/2006
Last updated 06/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 350799
Hospital affiliation(s) Not Available
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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