Organization
HENDRICKSON & HUNT PAIN MANAGEMENT PHYSICIANS, A CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KELLY HUNT M.D. (PRESIDENT)
(916) 984-3899
Entity
Organization
Contact information
Practice address
2350 E BIDWELL ST, FOLSOM, CA 95630-3455
(916) 984-3899
(916) 284-6522
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 329-8596
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A63152
DR. HUNT'S MEDICARE PIN
CA
01
—
G83722
DR. HENDRICKSON'S MEDICARE PIN
CA
Enumeration date
05/10/2006
Last updated
09/17/2019
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