Hendrickson, Kevin

Hendrickson, Kevin is an sole proprietor health care provider with primary practice located at 11050 Mt Belvedere Blvd , Fort Drum NY 13602-2603. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Hendrickson, Kevin can be contacted via phone (908) 255-2087.

Contact Information

Primary practice address
11050 Mt Belvedere Blvd Fort Drum NY 13602-2603
Phone: (908) 255-2087
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101282168 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 339422 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1689074957
LBN Legal business name Hendrickson, Kevin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2014
Last updated Jan 26th, 2026 - about 9 months 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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