Kinuyo Henderson, DO

NPI #1265843874 in La Grange, Texas

Provider Information

NPI Number: 1265843874
Entity Type: Individual
Name: Kinuyo Henderson, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 16, 2014
Last Updated: Jul 30, 2018

Practice Location

Address: 1253 N. VON MINDEN
City: La Grange
State: Texas
ZIP Code: 78945
Phone: (979) 968-8493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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