Organization Active NPI

Kimberly a Henry MD Inc

  • Plastic Surgery Physician
  • Greenbrae, CA
National Provider Identifier
1174757405
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G74346 Issued in CA
Legal business name
KIMBERLY A HENRY MD INC
Practice address
350 Bon Air Rd
#1
Greenbrae, CA 94904-1752
Phone
(415) 924-1313
Fax
(415) 925-1959
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Dr. Kimberly A. Henry, M.D.
Title
Owner/President
Phone
(415) 924-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X G74346 CA Primary

Addresses

Primary practice location

350 Bon Air Rd
#1
Greenbrae, CA 94904-1752

Mailing address

350 Bon Air Rd
#1
Greenbrae, CA 94904-1752
Phone (415) 924-1313

National Provider Directory

National Provider Directory

Locations

350 Bon Air Rd
Ste 1
Greenbrae, CA 94904
Phone (415) 924-1313

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1174757405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BON AIR RD",
            "address_2": "#1",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041752",
            "telephone_number": "415-924-1313",
            "fax_number": "415-925-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BON AIR RD",
            "address_2": "#1",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041752",
            "telephone_number": "415-924-1313",
            "fax_number": "415-925-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY A HENRY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "415-924-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G74346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.