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Kathryn Alyce Henick, MD
Hematology & Oncology Physician in Santa Monica, California
NPI 1912972779

Kathryn Alyce Henick is a Hematology & Oncology Physician based in Los Angeles, CA and is specialized in Hematology & Oncology. Kathryn Alyce Henick practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Kathryn Alyce Henick is 1912972779 and holds a License No. G78994 (California).

The current practice location address for Kathryn Alyce Henick is 2021 Santa Monica Blvd, Santa Monica, CA and can be reached out via phone at 310-453-5654 and via fax at 310-453-6885.

Location: 2021 Santa Monica Blvd, Santa Monica, CA, 90064-3205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912972779
Provider Name
Kathryn Alyce Henick
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2021 Santa Monica Blvd, Santa Monica, CA, 90064-3205
Phone Number
310-453-5654
Fax Number
310-453-6885
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G78994 01 CA CALIFORNIA LICENSE
G789940 05 CA
GR0085740 05 CA
institution
Provider Business Practice Location Address Details
Address
2021 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2208
Phone Number
310-453-5654
Fax Number
310-453-6885
person
Provider Business Mailing Address Details
Address
2021 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2208
Phone Number
310-453-5654
Fax Number
310-453-6885
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
G78994 (California)
Definition
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.
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