# HETRICKKOENIGHEALTH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154963999
- **Authorized official:** JENNIFER E HETRICK MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (646) 831-8044

## Contact information

- **Practice address:** 885 HIGH ST STE 107, WORTHINGTON, OH 43085-4158
- **Practice address phone:** (614) 368-7070
- **Practice address fax:** (614) 957-8610
- **Mailing address:** 6695 THORNE ST, WORTHINGTON, OH 43085-2431
- **Mailing address phone:** (646) 831-8044
- **Mailing address fax:** (614) 957-8610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2019
- **Last updated:** 10/14/2019