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

Kimberly Jill Henderson, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1790070787

Kimberly Jill Henderson, DO is an Obstetrics/Gynecology in Kingston, New York. Qualified in 2011, 15 years ago. Practices with Nuvance Health Medical Practice PC, a 575-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

334 Plaza Rd
Kingston, NY 12401-2975
Phone: (845) 338-5575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 278817 (NY)

Record details

NPI number1790070787
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 17, 2011
Last updated in NPPESJanuary 24, 2017
Mailing address1351 Route 55, Suite 200, Lagrangeville, NY 12540-5108

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Nuvance Health Medical Practice Pc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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