SearchMinnesota183500000X

Kyle Henderson

NPI 1952782690 · on the registry since 2015

Practice

Address
11990 Business Park Blvd N
Champlin, MN 55316
Phone
(763) 354-1007
Organisation at this address
Grand St Paul Cvs Llc
Luxottica Of America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota