Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEILAND MAURICE HENDERSON
Active Sole ProprietorMR. KEILAND MAURICE HENDERSON is a Contractor healthcare provider located in STOCKTON, California. NPI 1093019846 is currently active in the NPPES registry. Verify at CMS.
Contractor · STOCKTON, CA
Registration Details
- NPI Number
- 1093019846
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2011 (15.621509606772 yrs)
- Last Updated
- Jun 7, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
151 W CLEVELAND STSTOCKTON, CA, 952045306Browse CA providers · Browse ZIP 95204
- Phone
- 9164708628
- Primary Specialty
-
Contractor
171W00000X
- Additional Specialty
- Contractor
Other Contractor Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| TIEN TRONG VU | M.D. | 1538194113 |
| MS. VANNA PRASIT | — | 1740448646 |
| SYRELLENE CABRAL GARCIA | — | 1356633234 |
| ROSANNE DAMICO | R.E. | 1437577640 |
| JUAN CARLOS LOPEZ | ATC | 1689105686 |
| HARRIET K WHITE | — | 1619541349 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.