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DR. KELLIE N HENDERSON PHARMD, BCNSP
NPI 1184850984
Pharmacist - Nutrition Support in Miami, FL

Active since June 08, 2009
1611 NW 12TH AVE, ET-B069, MIAMI, FL 33136(305) 585-6651 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kellie N Henderson Pharmd, Bcnsp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLIE N HENDERSON PHARMD, BCNSP (NPI 1184850984) is an individual nutrition support provider in Miami, Florida, licensed in Florida (PS28015) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1184850984
Entity TypeIndividualFemale
Primary Taxonomy1835N1003X
Provider Legal NameDR. KELLIE N HENDERSONCredential: PHARMD, BCNSP
Location Address1611 NW 12TH AVE, ET-B069Miami, FL 33136-1005
Mailing Address1611 Nw 12th Ave, Et-b069Miami, FL 33136-1005 · (305) 585-6651
Phone(305) 585-6651
Sole ProprietorNo
Enumeration DateJune 8, 2009
✔ NPI 1184850984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Nutrition SupportPharmacy Service Providers
Taxonomy Code1835N1003X
License✔ Licensed in FL · PS28015
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
1611 NW 12TH AVE, Miami, FL 33136
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Henderson's NPI number?

The NPI number for Kellie Henderson is 1184850984. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Kellie Henderson located?

Kellie Henderson practices at 1611 NW 12th Ave Et-B069, Miami, FL 33136. The listed phone number is (305) 585-6651.

What is Kellie Henderson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Nutrition Support, with taxonomy code 1835N1003X.

When was this NPI record last updated?

The NPPES record for Kellie Henderson was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.