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1326204892 NPI number — KIMBERLY LYNETTE HENRICHS MD

NPI Number: 1326204892
Health Care Provider/Practitioner: KIMBERLY LYNETTE HENRICHS MD

Information about “1326204892” NPI (KIMBERLY LYNETTE HENRICHS MD) exists in 1326204892 in HTML format HTML  |  1326204892 in plain Text format TXT  |  1326204892 in PDF (Portable Document Format) PDF  |  1326204892 in an XML format XML  formats.

NPI Number : 1326204892 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326204892",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HENRICHS",
    "FirstName": "KIMBERLY",
    "MiddleName": "LYNETTE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RICHARDS",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": "LYNETTE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5282 MEDICAL DR STE 310",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78229-6044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-614-8687",
    "MailingAddressFaxNumber": "210-614-7529",
    "FirstLinePracticeLocationAddress": "5282 MEDICAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78229-4849",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-614-8687",
    "PracticeLocationAddressFaxNumber": "210-614-7529",
    "EnumerationDate": "08/04/2008",
    "LastUpdateDate": "11/13/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "Q1163",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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