Individual
BRIAN ROSS HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(913) 428-2900
Mailing address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-122922-101
KS
163W00000X
Registered Nurse
2010033733
MO
163W00000X
Registered Nurse
794593
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
2013035076
MO
367500000X
Certified Registered Nurse Anesthetist
557199
KS
Other
Enumeration date
04/26/2013
Last updated
10/09/2024
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