Kimberly Anne Henry, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G74346 Issued in CA

Practice address

350 Bon Air Rd Ste 1
Ste 1
Greenbrae, CA 94904-1753

Phone

(415) 924-1313

Fax

(415) 925-1957

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1164500369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BON AIR RD STE 1",
            "address_2": "STE 1",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041753",
            "telephone_number": "415-924-1313",
            "fax_number": "415-925-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BON AIR RD STE 1",
            "address_2": "STE 1",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041753",
            "telephone_number": "415-924-1313",
            "fax_number": "415-925-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G74346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Bud Hazelkorn
• Bobbie Head, M.D., PHD
• Ashley Heimann, RN
• Tiffany Hendrix, RN
• Erik Henriques
• Danielle Hernandez, RN
• Ashley Hill, OTR/L
• Megan Hinshaw, LCSW
• Jan Hirsch, MD
• Donald W Hixon, RN

• Plastic Surgery Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.