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

Mr. Keiland Maurice Henderson

Individual provider Case Manager/Care Coordinator · NPI 1093019846

Mr. Keiland Maurice Henderson is a Case Manager/Care Coordinator in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
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Practice location Address checks out

151 W Cleveland St
Stockton, CA 95204-5306
Phone: (916) 470-8628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1093019846
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 7, 2011
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

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