Hendrickson, Kathryn Denise

Hendrickson, Kathryn Denise is an individual health care provider with primary practice located at 7303 Rogers Ave , Fort Smith AR 72903-4112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hendrickson, Kathryn Denise can be contacted via phone (479) 478-7200.

Contact Information

Primary practice address
7303 Rogers Ave Fort Smith AR 72903-4112
Phone: (479) 478-7200
Fax: (478) 478-7225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N7631 Arkansas

Profile Details

NPI number 1093774754
LBN Legal business name Hendrickson, Kathryn Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1093774754 NPPES
Other 17654000000 QUALCHOICE
Other 53126 QUALCHOICE
Other 1625759 QUALCHOICE

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