Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly J Henderson, MD

Individual provider Emergency Medicine Physician · NPI 1366592859

Kimberly J Henderson, MD is an Emergency Medicine in Monroe, North Carolina. Graduated from Georgetown University School of Medicine in 2000, 26 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut, District of Columbia, Indiana and Maryland and 9 more.

Years since qualifying
26
Trained at
Georgetown University School of Medicine
Licensed in
CT, DC, IN, MD, ME, MI
In the registry since
2007
Specialties on file
13
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1251 Stafford St Unit 6
Monroe, NC 28110-3349
Phone: (980) 290-5515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 East 17th St, New York, NY 10003 — (917) 471-0923

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2020-00646 (NC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD15533 (RI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301110971 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 60922767 (WA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01077015A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 11085788-1205 (UT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD043819 (DC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD20776 (ME)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD466064 (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 25MA09842100 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 54929 (CT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence DO080667 (MD)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 232889 (NY)

Record details

NPI number1366592859
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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