Hendricks, Kelly J

Hendricks, Kelly J is an individual health care provider with primary practice located at 5701 W 119Th St Ste 410 , Overland Park KS 66209-3721. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Hendricks, Kelly J can be contacted via phone (913) 345-6901.

Contact Information

Primary practice address
5701 W 119Th St Ste 410 Overland Park KS 66209-3721
Phone: (913) 345-6901
Fax: (913) 469-4095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 04-30708 Kansas
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 04-30708 Kansas

Profile Details

NPI number 1043329147
LBN Legal business name Hendricks, Kelly J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043329147 NPPES
Kansas MEDICAID 200265840A
Kansas Other 34266011
Kansas Other 580580
Kansas MEDICAID 209281302
Kansas Other P00154501

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