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KATHRYN ALYCE HENICK M.D. NPI 1912972779


NPI Information

NPI: 1912972779
Provider Name: KATHRYN ALYCE HENICK, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
2021 SANTA MONICA BLVD
SUITE 400E
SANTA MONICA, CA
ZIP 90404
Phone: (310) 453-5654
Get Directions

Kathryn Alyce Henick, M.D. is a hematology and oncology internal medicine in Santa Monica, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Kathryn Alyce Henick, M.D. NPI is 1912972779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2021 SANTA MONICA BLVD
SUITE 400E
SANTA MONICA, CA
ZIP 90404-208
Phone: (310) 453-5654
Fax: (310) 453-6885

The enumeration date for this NPI number is 2/22/2006 and was last updated on 9/11/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyG78994CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G91699MEDICARE UPINCALIFORNIA
2G789940MEDICAIDCALIFORNIA
3BH4317194OTHERCALIFORNIADEA NUMBER
4G78994OTHERCALIFORNIACALIFORNIA LICENSE
5GR0085740MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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