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General NPI Number Information
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NPI Number | 1528147550
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Entity Type | Individual
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Provider Name | LINDA REED HENDERSON MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 3004 BELHAVEN ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-5509
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Country | US
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Telephone | 559-539-3684
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Fax | 661-397-4213
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Provider Business Mailing Address
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Address Line | PO BOX 1005
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City | SPRINGVILLE
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State | CA
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Zip | 93265-1005
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Country | US
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Telephone | 559-539-3684
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Fax | 661-397-4213
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G23340
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License Number State | CA
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