Kyle Henderson

Pharmacist · Champlin, MN

Individual Active NPI

NPI number 1952782690

Practice location

11990 Business Park Blvd N
Champlin, MN 55316-2005
Phone
(763) 354-1007

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NPI record

NPI
1952782690
Entity type
Individual (Type 1)
Enumeration date
June 17, 2015
Last updated
June 17, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 122234 MN

Mailing address

9770 Norway St NW
Coon Rapids, MN 55433-5000
Phone
(605) 431-4197

About Kyle Henderson

Kyle Henderson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 11990 Business Park Blvd N, Champlin, MN 55316-2005. The NPI number 1952782690 was assigned on June 17, 2015 and the record was last updated on June 17, 2015.

Kyle Henderson lists a license in the registry: #122234 (MN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle Henderson?

The NPI number is 1952782690.

What is the phone number of Kyle Henderson?

The phone number listed for the practice location is (763) 354-1007.

Where is Kyle Henderson located?

11990 Business Park Blvd N, Champlin, MN 55316-2005.

What is the taxonomy code for Kyle Henderson?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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