Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD449903 | PA |
NPI | 1053681791 |
---|---|
Provider Name | Dr. Kathryn Anne Henderson Heim |
First Address | Lighthouse Point, FL 33064 |
Second Address | Lighthouse Point, FL 33064 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2012 |
Last Update Date | 05/10/2017 |