MR. KEILAND MAURICE HENDERSON NPI 1093019846

NPI Information

MR. Keiland Maurice Henderson is a contractor in Stockton, CA. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). MR. Keiland Maurice Henderson NPI is 1093019846. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

151 W CLEVELAND ST
STOCKTON, CA
ZIP 95204-306
Phone: (916) 470-8628

The enumeration date for this NPI number is 1/7/2011 and was last updated on 6/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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