Provider Demographics
NPI:1679881791
Name:HENDLEY, KIMBERLY DEANN (RD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DEANN
Last Name:HENDLEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9842 WESTOVER HILLS BLVD STE 101
Mailing Address - Street 2:HILL COUNTRY FAMILY MEDICINE
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4321
Mailing Address - Country:US
Mailing Address - Phone:210-314-6557
Mailing Address - Fax:210-314-6559
Practice Address - Street 1:9842 WESTOVER HILLS BLVD STE 101
Practice Address - Street 2:HILL COUNTRY FAMILY MEDICINE
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4321
Practice Address - Country:US
Practice Address - Phone:210-314-6557
Practice Address - Fax:210-314-6559
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXDT07492133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered